Dr Douglas Edward Mazzuca, DO is a medicare enrolled "Ophthalmology" physician in Pennsville, New Jersey. His current practice location is
48 N Broadway, Pennsville, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 678-4800.
Dr Douglas Edward Mazzuca is licensed to practice in New Jersey (license number 25MB04899600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033109848.
Physician's Profile
| Full Name | Dr Douglas Edward Mazzuca |
|---|
| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 48 N Broadway, Pennsville, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033109848
- Provider Enumeration Date: 10/24/2005
- Last Update Date: 09/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638070279
- Enrollment ID: I20110217000716
Medical Identifiers
Medical identifiers for Dr Douglas Edward Mazzuca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033109848 | NPI | - | NPPES |
| 342 | Other | NJ | OPERATING ENGINEERS 825 |
| 0105577000 | Other | NJ | AMERIHEALTH |
| 223485583 | Other | NJ | TAX ID |
| SA000004901 | Other | NJ | AMERICHOICE |
| 180030900 | Other | NJ | PALMETTO GBA |
| 55179 | Other | NJ | AETNA |
| 223485583 | Other | NJ | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 25MB04899600 (New Jersey) | 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. Dr Douglas Edward Mazzuca allows following entities to bill medicare on his behalf.
| Entity Name | Mazzuca Eye And Laser Centers,pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942255831
PECOS PAC ID: 5698775906
Enrollment ID: O20070111000147 |
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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. Dr Douglas Edward Mazzuca 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 Douglas Edward Mazzuca, DO
48 N Broadway,
Pennsville, NJ 08070-1754
Ph: (856) 678-4800 | Dr Douglas Edward Mazzuca, DO
48 N Broadway,
Pennsville, NJ 08070-1754
Ph: (856) 678-4800 |
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