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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Theodore A Buccilli Jr.

DPM

Podiatrist

NPI: 1164413019Ravenna, Ohio, 44266(330) 687-7464Male

About Dr. Theodore A Buccilli Jr.

Dr. Theodore A Buccilli Jr., DPM, is a male healthcare professional specializing in Podiatrist, registered under National Provider Identifier (NPI) number 1164413019. Their primary practice is located at 4403 CLOVER DR, Ravenna, Ohio 44266.

Patients can reach the office at (330) 687-7464. Dr. Theodore A Buccilli Jr. is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Dr. Theodore A Buccilli Jr. has been NPI-registered since 2005.

Doctor Details

Identity & Credentials

NPI Number
1164413019
Entity Type
Individual
First Name
Theodore
Last Name
Buccilli
Credential
DPM
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
4403 CLOVER DR
City
Ravenna
State
Ohio
ZIP
44266-8636
Country
United States
Phone
(330) 687-7464

Specialty & Taxonomy

Primary Specialty
Podiatrist
Classification
Podiatrist
Taxonomy Code
213E00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5500 ARMSTRONG RD
City
BATTLE CREEK
State
MI
ZIP
490377314

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Theodore A Buccilli Jr.'s NPI number?
Dr. Theodore A Buccilli Jr.'s National Provider Identifier (NPI) is 1164413019. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Theodore A Buccilli Jr. specialize in?
Dr. Theodore A Buccilli Jr. specializes in Podiatrist.
Where is Dr. Theodore A Buccilli Jr. located?
Dr. Theodore A Buccilli Jr. practices at 4403 CLOVER DR, Ravenna, Ohio 44266. You can reach them by phone at (330) 687-7464.
Does Dr. Theodore A Buccilli Jr. accept Medicare?
Yes, Dr. Theodore A Buccilli Jr. is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Theodore A Buccilli Jr. offer telehealth or virtual visits?
Dr. Theodore A Buccilli Jr. does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Theodore A Buccilli Jr. prescribe medications?
Yes, Dr. Theodore A Buccilli Jr. is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Theodore A Buccilli Jr. is 1164413019.