Mr Paul Bucolo, MD is a medicare enrolled "Family Medicine" in New Smyrna Beach, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Brevard Medical Support Inc and his current practice location is
125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 409-6839.
Mr Paul Bucolo is licensed to practice in Florida (license number ME143433) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871633719.
Provider's Profile
| Full Name | Mr Paul Bucolo |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Paul Bucolo graduated from nursing school in 2016
NPI Data:
- NPI Number: 1871633719
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042383671
- Enrollment ID: I20200609000708
Medical Identifiers
Medical identifiers for Mr Paul Bucolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871633719 | NPI | - | NPPES |
| 290408000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 3476 (Florida) | Secondary |
| 207Q00000X | Family Medicine | PA3476 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME143433 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Brevard Medical Support Inc | 7618870296 | 87 |
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. Mr Paul Bucolo allows following entities to bill medicare on his behalf.
| Entity Name | North Brevard Medical Support Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385 |
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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. Mr Paul Bucolo 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 Address | Practice Location Address |
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Mr Paul Bucolo, MD
250 Harrison St,
Titusville, FL 32780-5094
Ph: (321) 268-6868 | Mr Paul Bucolo, MD
125 Florida Memorial Pkwy Ste 2200,
New Smyrna Beach, FL 32168-9309
Ph: (386) 409-6839 |
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