Mrs Marissa Cristina Povol, OD is a medicare enrolled "Optometrist" provider in Bayshore, New York. Her current practice location is
2 W Main Street, Bayshore, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 813-1112.
Mrs Marissa Cristina Povol is licensed to practice in New York (license number TUV-008625) 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 1922537463.
Healthcare Provider's Profile
| Full Name | Mrs Marissa Cristina Povol |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 2 W Main Street, Bayshore, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1922537463
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 02/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587919766
- Enrollment ID: I20180611002612
Medical Identifiers
Medical identifiers for Mrs Marissa Cristina Povol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922537463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV-008625 (New York) | 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. Mrs Marissa Cristina Povol allows following entities to bill medicare on her behalf.
| Provider Name | Medical Surgical Eye Care Services Pc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1306863097
PECOS PAC ID: 8426942129
Enrollment ID: O20040212000455 |
|---|
| Provider Name | We Care For Eyes Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1538405287
PECOS PAC ID: 3476873811
Enrollment ID: O20150526001917 |
|---|
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. Mrs Marissa Cristina Povol 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 |
|---|
Mrs Marissa Cristina Povol, OD
21 Argyle Drive,
East Islip, NY 11730
Ph: (631) 871-5552 | Mrs Marissa Cristina Povol, OD
2 W Main Street,
Bayshore, NY 11706
Ph: (631) 813-1112 |
Reviews and Comments