Dr Gerald Joseph Dagostino, OD is a medicare enrolled "Optometrist" provider in Maple Hts, Ohio. His current practice location is
5404 Northfield Road, Maple Hts, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 587-6620.
Dr Gerald Joseph Dagostino is licensed to practice in Ohio (license number 3716T397) 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 1952314585.
Healthcare Provider's Profile
Full Name | Dr Gerald Joseph Dagostino |
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Gender | Male |
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Speciality | Optometrist |
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Location | 5404 Northfield Road, Maple Hts, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952314585
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 4284695032
- Enrollment ID: I20041025000511
Medical Identifiers
Medical identifiers for Dr Gerald Joseph Dagostino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952314585 | NPI | - | NPPES |
341617718026 | Other | OH | CARE SOURCE |
0632613 | Medicaid | OH | |
5369140001 | Other | | DME |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3716T397 (Ohio) | Primary |
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 Gerald Joseph Dagostino 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 Gerald Joseph Dagostino, OD 5404 Northfield Road, Maple Hts, OH 44137 Ph: (216) 587-6620 | Dr Gerald Joseph Dagostino, OD 5404 Northfield Road, Maple Hts, OH 44137 Ph: (216) 587-6620 |
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