Dr Brian John Petracca, OD is a medicare enrolled "Optometrist" provider in Deming, New Mexico. He went to Pacific University - College Of Optometry and graduated in 2008 and has 16 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southwestern Eye Center, Ltd and his current practice location is
1515 S 8th St, Deming, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 544-3937.
Dr Brian John Petracca is licensed to practice in New Mexico (license number 592) 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 1457502221.
Healthcare Provider's Profile
| Full Name | Dr Brian John Petracca |
|---|
| Gender | Male |
|---|
| Speciality | Optometry |
|---|
| Experience | 16 Years |
|---|
| Location | 1515 S 8th St, Deming, New Mexico |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Brian John Petracca attended and graduated from Pacific University - College Of Optometry in 2008
NPI Data:
- NPI Number: 1457502221
- Provider Enumeration Date: 10/09/2008
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183778319
- Enrollment ID: I20141210000408
Medical Identifiers
Medical identifiers for Dr Brian John Petracca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457502221 | NPI | - | NPPES |
| 14224283 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 592 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwestern Eye Center, Ltd | 1850296989 | 98 |
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 Brian John Petracca allows following entities to bill medicare on his behalf.
| Provider Name | Southwestern Eye Center, Ltd |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20120222000077 |
|---|
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 Brian John Petracca 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 |
|---|
Dr Brian John Petracca, OD
4800 N 22nd St Ste 210,
Phoenix, AZ 85016-4963
Ph: (480) 892-8400 | Dr Brian John Petracca, OD
1515 S 8th St,
Deming, NM 88030-4940
Ph: (575) 544-3937 |
Reviews and Comments