Rosalyn Misdraji, OD RN is a medicare enrolled "Optometrist" in Boynton Beach, Florida. Her current practice location is
6641 W Boynton Beach Blvd, Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(317) 903-2929.
Rosalyn Misdraji is licensed to practice in Florida (license number OPC2752) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376504258.
Provider's Profile
| Full Name | Rosalyn Misdraji |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 6641 W Boynton Beach Blvd, Boynton Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376504258
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608181672
- Enrollment ID: I20160210002398
Medical Identifiers
Medical identifiers for Rosalyn Misdraji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376504258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN2115622 (Florida) | Secondary |
| 152W00000X | Optometrist | OPC2752 (Florida) | 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. Rosalyn Misdraji allows following entities to bill medicare on her behalf.
| Entity Name | Gulf Coast Optometry Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083859409
PECOS PAC ID: 0941359533
Enrollment ID: O20090602000109 |
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| Entity Name | Advanced Vision Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538372065
PECOS PAC ID: 8325284078
Enrollment ID: O20130424001009 |
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| Entity Name | Drs Cukierman & Gomez Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669800181
PECOS PAC ID: 9436489416
Enrollment ID: O20190918002359 |
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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. Rosalyn Misdraji 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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Rosalyn Misdraji, OD RN
6641 W Boynton Beach Blvd,
Boynton Beach, FL 33437-3527
Ph: (561) 738-0112 | Rosalyn Misdraji, OD RN
6641 W Boynton Beach Blvd,
Boynton Beach, FL 33437-3527
Ph: (317) 903-2929 |
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