Tri County Eye Clinic, Pllc is a medicare enrolled "Ophthalmology" provider in Biloxi, Mississippi. Their current practice location is
431 Bertucci Blvd, Biloxi, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(228) 385-2020.
Tri County Eye Clinic, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tri County Eye Clinic, Pllc
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 1700859881.
Healthcare Provider's Profile
| Full Name | Tri County Eye Clinic, Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 431 Bertucci Blvd, Biloxi, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700859881
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830104819
- Enrollment ID: O20060213000270
Medical Identifiers
Medical identifiers for Tri County Eye Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700859881 | NPI | - | NPPES |
| 09014787 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | (Mississippi) | 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.
Tri County Eye Clinic, Pllc 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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| Provider Name | Jay Andrew Fuller |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1053667758
PECOS PAC ID: 4486803566
Enrollment ID: I20121004000584 |
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| Provider Name | Benjamin E Massey |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1346892627
PECOS PAC ID: 3375962350
Enrollment ID: I20200924000508 |
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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. Tri County Eye Clinic, Pllc 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 |
|---|
Tri County Eye Clinic, Pllc
431 Bertucci Blvd,
Biloxi, MS 39531-2255
Ph: (228) 385-2020 | Tri County Eye Clinic, Pllc
431 Bertucci Blvd,
Biloxi, MS 39531-2255
Ph: (228) 385-2020 |
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