Stacy Pirruccello, OD - Medicare Optometrist in Maple Grove, MN

Stacy Pirruccello, OD is a medicare enrolled "Optometrist" provider in Maple Grove, Minnesota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Brokea Inc. and her current practice location is 13195 Weaver Lake Rd, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 420-5112.

Stacy Pirruccello is licensed to practice in Minnesota (license number 3587) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780161539.

Contact Information

Stacy Pirruccello, OD
13195 Weaver Lake Rd,
Maple Grove, MN 55369-9410
(763) 420-5112
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStacy Pirruccello
GenderFemale
SpecialityOptometry
Experience6 Years
Location13195 Weaver Lake Rd, Maple Grove, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Pirruccello graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1780161539
  • Provider Enumeration Date: 07/24/2018
  • Last Update Date: 11/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446503114
  • Enrollment ID: I20181025002260

Medical Identifiers

Medical identifiers for Stacy Pirruccello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780161539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3587 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brokea Inc.95373280754

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Pirruccello allows following entities to bill medicare on her behalf.
Provider NameBrokea Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346453735
PECOS PAC ID: 9537328075
Enrollment ID: O20120405000013
Provider NameVisionworks Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881962173
PECOS PAC ID: 4385639616
Enrollment ID: O20120409000416

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Pirruccello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Pirruccello, OD
2701 Isleview Rd,
Grand Rapids, MN 55744-9769

Ph: (218) 259-5782
Stacy Pirruccello, OD
13195 Weaver Lake Rd,
Maple Grove, MN 55369-9410

Ph: (763) 420-5112

Reviews and Comments


Optometrist in Maple Grove, MN

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Phone: 763-420-8030    Fax: 763-420-9842
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Dr. Kelly Crenna, O.D.
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Phone: 763-599-0153    Fax: 763-420-6957
Renee M Ritzer, OD
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Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369
Phone: 763-599-0153    Fax: 763-420-6957
Dr. Brad Alan Weeks, O.D.
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Phone: 763-553-1811    Fax: 763-553-0131
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Phone: 763-420-6981    Fax: 763-773-7253
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Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369
Phone: 952-807-4173    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.