Dr Theodore A Buccilli Jr, DPM - Medicare Podiatrist in Ravenna, OH

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Dr Theodore A Buccilli Jr, DPM is a medicare enrolled "Podiatrist" provider in Ravenna, Ohio. His current practice location is 4403 Clover Dr, Ravenna, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 687-7464.

Dr Theodore A Buccilli Jr is licensed to practice in Ohio (license number 36003352) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164413019.

Contact Information

Dr Theodore A Buccilli Jr, DPM
4403 Clover Dr,
Ravenna, OH 44266-8636
(330) 687-7464
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Theodore A Buccilli Jr
GenderMale
SpecialityPodiatrist
Location4403 Clover Dr, Ravenna, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164413019
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 03/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395798318
  • Enrollment ID: I20050301000973

Medical Identifiers

Medical identifiers for Dr Theodore A Buccilli Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164413019NPI-NPPES
2538178MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 36003352 (Ohio)Primary

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. Dr Theodore A Buccilli Jr allows following entities to bill medicare on his behalf.
Provider NameNortheastern Ohio Foot & Ankle Surgical Associates, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639235351
PECOS PAC ID: 8628070851
Enrollment ID: O20070201000018

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. Dr Theodore A Buccilli Jr 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
Dr Theodore A Buccilli Jr, DPM
25 S Main St, Ste 7,
Munroe Falls, OH 44262-1660

Ph: (234) 706-2395		Dr Theodore A Buccilli Jr, DPM
4403 Clover Dr,
Ravenna, OH 44266-8636

Ph: (330) 687-7464

Reviews and Comments


Podiatrist in Ravenna, OH

Eric J Paul, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 6693 North Chestnut St, Ste 12-b, Ravenna, OH 44266
Phone: 330-297-1211    Fax: 330-297-6550
Portage Foot Health, Inc.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 444 S Meridian St, Ste 7, Ravenna, OH 44266
Phone: 330-297-7330    Fax: 330-298-0497
Ankle And Foot Care Centers
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 444 S Meridian St Ste 7, Ravenna, OH 44266
Phone: 330-297-7330    Fax: 330-298-0497
Northeastern Ohio Foot & Ankle Surgical Associates, Inc.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 4403 Clover Dr, Ravenna, OH 44266
Phone: 330-687-7464    

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.