Dr Lisa Marie Gudicello, MD - Medicare Ophthalmology 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



Physician's Profile

Full NameDr Lisa Marie Gudicello
GenderFemale
SpecialityOphthalmology
Location440 Northern Pkwy, Ridgewood, New Jersey
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1386794576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology MA06926700 (New Jersey)Secondary
207W00000XOphthalmology 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 NameEye Care Vision Optometry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851983654
PECOS PAC ID: 2365848165
Enrollment ID: O20210902000419

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› Verified 4 days ago

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 AddressPractice 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

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Afghanistan and nine African countries top a list measuring global food insecurity, which was released on Thursday, Agence France-Presse reports.

New method for quickly ruling out serious acute coronary disease of chest pains

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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

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