Dr Lisa Marie Gudicello, MD in Ridgewood, NJ

Dr Lisa Marie Gudicello, MD is a medicare enrolled "Ophthalmology" physician in Ridgewood, New Jersey. Her current practice location is 440 Northern Pkwy, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 220-2654.

Dr Lisa Marie Gudicello is licensed to practice in New York (license number 318455) 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 1386794576.

Contact Information

	Dr Lisa Marie Gudicello, MD
	440 Northern Pkwy, Ridgewood, NJ 07450-1721
	(201) 220-2654
	(201) 220-2654

Map and Direction

Physician's Profile

Full Name	Dr Lisa Marie Gudicello
Gender	Female
Speciality	Ophthalmology
Location	440 Northern Pkwy, Ridgewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386794576
Provider Enumeration Date: 01/11/2007
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5294701090
Enrollment ID: I20230306002485

Medical Identifiers

Medical identifiers for Dr Lisa Marie Gudicello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386794576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MA06926700 (New Jersey)	Secondary
207W00000X	Ophthalmology	318455 (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. Dr Lisa Marie Gudicello allows following entities to bill medicare on her behalf.

Entity Name	Eye Care Vision Optometry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851983654 PECOS PAC ID: 2365848165 Enrollment ID: O20210902000419

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 Lisa Marie Gudicello 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 Lisa Marie Gudicello, MD 440 Northern Pkwy, Ridgewood, NJ 07450-1721 Ph: (201) 220-2654	Dr Lisa Marie Gudicello, MD 440 Northern Pkwy, Ridgewood, NJ 07450-1721 Ph: (201) 220-2654

Reviews and Comments

Ophthalmology Doctors in Ridgewood, NJ

Murray A Wolkstein, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 S Broad St Unit B, Ridgewood, NJ 07450 Phone: 201-445-6622 Fax: 201-445-0262
Dr. Adrian William Jachens, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-4400 Fax: 201-612-9446
Dr. Kiran Bhagwan Amesur, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450 Phone: 201-857-4751 Fax: 201-857-4752
Dr. Rony Gelman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-9600
Dr. Larisa Kayserman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-9600 Fax: 201-612-0428
Dr. Anne R Sumers, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-0044 Fax: 201-612-9446

Dr Lisa Marie Gudicello, MD - Medicare Ophthalmology in Ridgewood, NJ