Dr Jasper J Gulotta, OD in South Holland, IL - Medicare Optometrist Provider

Dr Jasper J Gulotta, OD is a medicare enrolled "Optometrist" provider in South Holland, Illinois. His current practice location is 835 E 162nd St, South Holland, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 333-4444.

Dr Jasper J Gulotta is licensed to practice in Illinois (license number 046-7183) 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 1669464251.

Contact Information

	Dr Jasper J Gulotta, OD
	835 E 162nd St, South Holland, IL 60473-2465
	(708) 333-4444
	(708) 333-4454

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jasper J Gulotta
Gender	Male
Speciality	Optometrist
Location	835 E 162nd St, South Holland, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669464251
Provider Enumeration Date: 08/18/2005
Last Update Date: 11/15/2007

Medicare PECOS Information:

PECOS PAC ID: 2062548217
Enrollment ID: I20100327000117

Medical Identifiers

Medical identifiers for Dr Jasper J Gulotta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669464251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046-7183 (Illinois)	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 Jasper J Gulotta allows following entities to bill medicare on his behalf.

Provider Name	Advanced Eyecare South Holland Od And Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942749791 PECOS PAC ID: 3779868302 Enrollment ID: O20170322002754

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 Jasper J Gulotta 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 Jasper J Gulotta, OD 835 E 162nd St, South Holland, IL 60473-2465 Ph: (708) 333-4444	Dr Jasper J Gulotta, OD 835 E 162nd St, South Holland, IL 60473-2465 Ph: (708) 333-4444

Reviews and Comments

Optometrist in South Holland, IL

South Holland Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 353 E 162nd St, South Holland, IL 60473 Phone: 708-331-3553 Fax: 708-331-3722
Dr. Lonnie Lee Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 353 E 162nd St, South Holland, IL 60473 Phone: 708-331-3553 Fax: 708-331-3722
South Holland Optometric Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 835 E 162nd St, South Holland, IL 60473 Phone: 708-333-4444 Fax: 708-333-4454
Dr. Stephen Shulman, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1024 E 162nd St, South Holland, IL 60473 Phone: 708-339-4040 Fax: 708-339-3989
Advanced Eyecare Of South Holland Optometrist Medicare: Medicare Enrolled Practice Location: 835 E 162nd St, South Holland, IL 60473 Phone: 708-333-4444 Fax: 708-333-4454
Dr. Stephen Alan Shulman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 E 162nd St, South Holland, IL 60473 Phone: 708-339-4040 Fax: 708-339-3989

Dr Jasper J Gulotta, OD - Medicare Optometrist in South Holland, IL