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DR. MARY LOU C PUGLESE OD
NPI 1780432880
Student in an Organized Health Care Education/Training Program in Clinton, MS

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
115 CYNTHIA ST, CLINTON, MS 39056(601) 924-4444(601) 924-5471 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary Lou C Puglese Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY LOU C PUGLESE OD (NPI 1780432880) is an individual student in an organized health care education/training program in Clinton, Mississippi and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2024).

NPPES Registry Identity

NPI1780432880
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARY LOU C PUGLESECredential: OD
Location Address115 CYNTHIA STClinton, MS 39056-3711
Mailing Address115 Cynthia StClinton, MS 39056-3711 · (601) 924-4444
Phone(601) 924-4444
Fax(601) 924-5471
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2024
Enumeration DateMay 13, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1780432880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 CYNTHIA ST, Clinton, MS 39056
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Lou C Puglese Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668910316
PECOS Enrollment IDI20240813003703
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Lou Puglese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optical 2000
2.4 mi
Optometrist
815 HIGHWAY 80 E
Clinton, MS 39056
  • Reassigned Medicare billing, Mississippi enrollment
  • 5 clinicians in this Medicare group
NPI 1144422577 (601) 924-4444
Optical 2000 Of Richland
12 mi
Optometrist
655 HIGHWAY 49 S, SUITE M
Richland, MS 39218
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1205001005 (601) 932-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY LONG SYKES OD
Optometrist
115 CYNTHIA ST
CLINTON, MS 39056
Hinds County (601) 924-4444
BOBBY C PANKEY O.D.
Optometrist
115 CYNTHIA ST
CLINTON, MS 39056
Hinds County (601) 924-4444
DEVON DIXIT O.D.
Optometrist
115 CYNTHIA ST
CLINTON, MS 39056
Hinds County (601) 924-4444
DR. DILLON J PANKEY OD
Student in an Organized Health Care Education/Training Program
115 CYNTHIA ST
CLINTON, MS 39056
Hinds County (601) 924-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lou Puglese's NPI number?

The NPI number for Mary Lou Puglese is 1780432880. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Mary Lou Puglese located?

Mary Lou Puglese practices at 115 Cynthia St, Clinton, MS 39056. The listed phone number is (601) 924-4444.

What is Mary Lou Puglese's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Lou Puglese enrolled in Medicare?

Yes. Mary Lou Puglese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Lou Puglese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lou Puglese reassigns Medicare benefits to 2 organizations: Optical 2000 (Clinton, MS) and Optical 2000 Of Richland (Richland, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Lou Puglese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Lou Puglese accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Mary Lou Puglese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lou Puglese was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.