Dr Gina Nicole Dericco, OD - Medicare Optometrist in Wantagh, NY

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Dr Gina Nicole Dericco, OD is a medicare enrolled "Optometrist" provider in Wantagh, New York. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice South Shore Eye Care Llp and her current practice location is 2185 Wantagh Ave, Wantagh, New York. You can reach out to her office (for appointments etc.) via phone at (516) 785-3900.

Dr Gina Nicole Dericco is licensed to practice in New York (license number TUV009244-01) 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 1588287312.

Contact Information

Dr Gina Nicole Dericco, OD
2185 Wantagh Ave,
Wantagh, NY 11793-3917
(516) 785-3900
(516) 541-4250

Map and Direction




Healthcare Provider's Profile

Full NameDr Gina Nicole Dericco
GenderFemale
SpecialityOptometry
Experience6 Years
Location2185 Wantagh Ave, Wantagh, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gina Nicole Dericco graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1588287312
  • Provider Enumeration Date: 05/27/2020
  • Last Update Date: 06/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577974658
  • Enrollment ID: I20201120001128

Medical Identifiers

Medical identifiers for Dr Gina Nicole Dericco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588287312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TUV009244-01 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Shore Eye Care Llp48805859679

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 Gina Nicole Dericco allows following entities to bill medicare on her behalf.
Provider NameSouth Shore Eye Care Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700995602
PECOS PAC ID: 4880585967
Enrollment ID: O20040320000543
Provider NameSound Vision Care, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487809406
PECOS PAC ID: 5496801417
Enrollment ID: O20090916000485
Provider NameSvc Of Coram Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619411972
PECOS PAC ID: 8426487315
Enrollment ID: O20200327001175
Provider NameSvc Of East Setauket Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1255875514
PECOS PAC ID: 5597194480
Enrollment ID: O20200327001322
Provider NameSvc Of Riverhead Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881221695
PECOS PAC ID: 8921437500
Enrollment ID: O20200402000550
Provider NameSvc Of Forest Hills One, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1861003352
PECOS PAC ID: 5890106199
Enrollment ID: O20201117002137
Provider NameSvc Of Murray Hill, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134736945
PECOS PAC ID: 3779997135
Enrollment ID: O20210126000530
Provider NameSvc Of Bensonhurst Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356095608
PECOS PAC ID: 0446637193
Enrollment ID: O20220518001000

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 Gina Nicole Dericco 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 AddressPractice Location Address
Dr Gina Nicole Dericco, OD
2185 Wantagh Ave,
Wantagh, NY 11793-3917

Ph: (516) 785-3900		Dr Gina Nicole Dericco, OD
2185 Wantagh Ave,
Wantagh, NY 11793-3917

Ph: (516) 785-3900

Reviews and Comments


Optometrist in Wantagh, NY

Edward Frank Rubin, OD
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Practice Location: 3016 Beltagh Ave, Wantagh, NY 11793
Phone: 516-826-3813    Fax: 516-826-3813
Dr. Sarin Siriamonthep, OD
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Practice Location: 2185 Wantagh Ave, Wantagh, NY 11793
Phone: 516-785-3900    Fax: 516-541-4250
Optyx Llc
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Practice Location: 1229 Wantagh Ave, Wantagh, NY 11793
Phone: 516-221-2220    Fax: 516-221-2228
Dr. Eric Jason Conley, OD, MJ
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Medicare: Accepting Medicare Assignments
Practice Location: 2185 Wantagh Ave, Wantagh, NY 11793
Phone: 516-785-3900    Fax: 516-541-4250
Shari Nancy Cohen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1229 Wantagh Ave, Wantagh, NY 11793
Phone: 516-221-2220    
Dr. Jennifer Veronica Thomas, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2266 Arby Ct, Wantagh, NY 11793
Phone: 516-308-3045    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.