- Medicare in St Petersburg, FL

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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.

is licensed to practice in Florida (license number ME99008) and it also participates in the medicare program. 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.

Contact Information

1515 9th Ave N,
St Petersburg, FL 33705-1224
(727) 895-2020
(727) 823-8796

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location1515 9th Ave N, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  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 such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306165493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
207W00000XOphthalmology ME99008 (Florida)Primary
207WX0107XOphthalmology - Retina Specialist (* (Not Available))Secondary
207WX0200XOphthalmology - Ophthalmic Plastic And Reconstructive Surgery (* (Not Available))Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology (* (Not Available))Secondary
332900000XNon-pharmacy Dispensing Site (Florida)Secondary
332B00000XDurable 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. acts as a billing entity for following providers:
Provider NameSteven A Gross
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609894211
PECOS PAC ID: 9032103387
Enrollment ID: I20040412000310
Provider NameJason M Handza
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083603146
PECOS PAC ID: 4183696875
Enrollment ID: I20040812000355
Provider NamePrabin C Mishra
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1851361869
PECOS PAC ID: 1557354222
Enrollment ID: I20050808000317
Provider NameMichael H Manning
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093733271
PECOS PAC ID: 4284729823
Enrollment ID: I20070927000661
Provider NameBrenda R Liffland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447409974
PECOS PAC ID: 7012078728
Enrollment ID: I20081212000221
Provider NameJill M Marrotte
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992911150
PECOS PAC ID: 0143378448
Enrollment ID: I20090424000213
Provider NameThanh T Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396150587
PECOS PAC ID: 4688896707
Enrollment ID: I20150908001866
Provider NameLydia K Luther
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629630579
PECOS PAC ID: 0042548653
Enrollment ID: I20190821000314
Provider NameSara Jeannette Creekmore
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902131170
PECOS PAC ID: 0547584484
Enrollment ID: I20210831000581
Provider NameEmily Catherine Hall
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972096857
PECOS PAC ID: 9335531011
Enrollment ID: I20220110002660
Provider NameChelsey Laurene Knapper
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922599562
PECOS PAC ID: 5597158816
Enrollment ID: I20231020000943
Provider NameTyler D Wickas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063041473
PECOS PAC ID: 8527501147
Enrollment ID: I20240624000992
Provider NameKaren T Lin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841059714
PECOS PAC ID: 3476099441
Enrollment ID: I20240725004179

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. 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 AddressPractice Location Address

1515 9th Ave N,
St Petersburg, FL 33705-1224

Ph: (727) 895-2020
1515 9th Ave N,
St Petersburg, FL 33705-1224

Ph: (727) 895-2020

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.