Angelina Gavel-rukha, OD is a medicare enrolled "Optometrist" provider in St Johns, Florida. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Myeyedr Optometry Of Florida, Llc and her current practice location is
450 State Road 13 N Ste 107, St Johns, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 287-3678.
Angelina Gavel-rukha is licensed to practice in Florida (license number OPC5745) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992357560.
Healthcare Provider's Profile
| Full Name | Angelina Gavel-rukha |
|---|
| Gender | Female |
|---|
| Speciality | Optometry |
|---|
| Experience | 8 Years |
|---|
| Location | 450 State Road 13 N Ste 107, St Johns, Florida |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Angelina Gavel-rukha graduated from medical school in 2018
NPI Data:
- NPI Number: 1992357560
- Provider Enumeration Date: 07/12/2019
- Last Update Date: 11/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981932803
- Enrollment ID: I20231116002609
Medical Identifiers
Medical identifiers for Angelina Gavel-rukha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992357560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 5375 (Massachusetts) | Secondary |
| 152W00000X | Optometrist | 3115 (Connecticut) | Secondary |
| 152W00000X | Optometrist | OPC5745 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Myeyedr Optometry Of Florida, Llc | 0143541037 | 109 |
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. Angelina Gavel-rukha allows following entities to bill medicare on her behalf.
| Provider Name | Myeyedr Optometry Of Florida, Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1073907028
PECOS PAC ID: 0143541037
Enrollment ID: O20150603002802 |
|---|
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. Angelina Gavel-rukha 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 |
|---|
Angelina Gavel-rukha, OD
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442
Ph: () - | Angelina Gavel-rukha, OD
450 State Road 13 N Ste 107,
St Johns, FL 32259-3861
Ph: (904) 287-3678 |
Reviews and Comments