Gulfcoast Eye Care is a medicare enrolled "Ophthalmology" provider in St Petersburg, Florida. Their current practice location is
1515 9th Ave N, St Petersburg, Florida. You can reach out to their office (for appointments etc.) via phone at
(727) 895-2020.
Gulfcoast Eye Care is licensed to practice in Florida (license number ME99008) and it also participates in the medicare program. Gulfcoast Eye Care
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 1306165493.
Healthcare Provider's Profile
| Full Name | Gulfcoast Eye Care |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1515 9th Ave N, St Petersburg, Florida |
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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: 1306165493
- Provider Enumeration Date: 05/27/2010
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577743996
- Enrollment ID: O20110202000264
Medical Identifiers
Medical identifiers for Gulfcoast Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306165493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | ME99008 (Florida) | Primary |
| 207WX0107X | Ophthalmology - Retina Specialist | (* (Not Available)) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | (* (Not Available)) | Secondary |
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (Florida) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Gulfcoast Eye Care acts as a billing entity for following providers:
| Provider Name | Steven A Gross |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1609894211
PECOS PAC ID: 9032103387
Enrollment ID: I20040412000310 |
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| Provider Name | Jason M Handza |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1083603146
PECOS PAC ID: 4183696875
Enrollment ID: I20040812000355 |
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| Provider Name | Prabin C Mishra |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1851361869
PECOS PAC ID: 1557354222
Enrollment ID: I20050808000317 |
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| Provider Name | Michael H Manning |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1093733271
PECOS PAC ID: 4284729823
Enrollment ID: I20070927000661 |
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| Provider Name | Brenda R Liffland |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1447409974
PECOS PAC ID: 7012078728
Enrollment ID: I20081212000221 |
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| Provider Name | Jill M Marrotte |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992911150
PECOS PAC ID: 0143378448
Enrollment ID: I20090424000213 |
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| Provider Name | Thanh T Nguyen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1396150587
PECOS PAC ID: 4688896707
Enrollment ID: I20150908001866 |
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| Provider Name | Lydia K Luther |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1629630579
PECOS PAC ID: 0042548653
Enrollment ID: I20190821000314 |
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| Provider Name | Chelsey Laurene Knapper |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1922599562
PECOS PAC ID: 5597158816
Enrollment ID: I20231020000943 |
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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. Gulfcoast Eye Care 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 |
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Gulfcoast Eye Care
1515 9th Ave N,
St Petersburg, FL 33705-1224
Ph: (727) 895-2020 | Gulfcoast Eye Care
1515 9th Ave N,
St Petersburg, FL 33705-1224
Ph: (727) 895-2020 |
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