Bertucci Eye Care is a medicare enrolled "Ophthalmology" provider in Gulfport, Mississippi. Their current practice location is
15122 Dedeaux Rd, Gulfport, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(228) 832-1242.
Bertucci Eye Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bertucci Eye Care
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184417750.
Healthcare Provider's Profile
| Full Name | Bertucci Eye Care |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 15122 Dedeaux Rd, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184417750
- Provider Enumeration Date: 05/27/2025
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901393602
- Enrollment ID: O20251016000218
Medical Identifiers
Medical identifiers for Bertucci Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184417750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bertucci Eye Care acts as a billing entity for following providers:
| Provider Name | Philip L Bertucci |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1194793299 PECOS PAC ID: 3072567189 Enrollment ID: I20050321000538 |
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| Provider Name | Gregory E Bertucci |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1699744482 PECOS PAC ID: 8729093703 Enrollment ID: I20120126000799 |
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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. Bertucci Eye Care 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 |
Bertucci Eye Care 15122 Dedeaux Rd, Gulfport, MS 39503-3120 Ph: (228) 832-1242 | Bertucci Eye Care 15122 Dedeaux Rd, Gulfport, MS 39503-3120 Ph: (228) 832-1242 |
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