Dr Michelle Lauren Zickel Blew, OD is a medicare enrolled "Optometrist" physician in Kennebunk, Maine. She went to Illinois College Of Optometry At Chicago and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Nathan Corbell, Phd, Od, Inc and her current practice location is
183 Port Rd Ste B, Kennebunk, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 216-9937.
Dr Michelle Lauren Zickel Blew is licensed to practice in Pennsylvania (license number OEG002586) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891007688.
Physician's Profile
| Full Name | Dr Michelle Lauren Zickel Blew |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 14 Years |
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| Location | 183 Port Rd Ste B, Kennebunk, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michelle Lauren Zickel Blew attended and graduated from Illinois College Of Optometry At Chicago in 2010
NPI Data:
- NPI Number: 1891007688
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274658430
- Enrollment ID: I20221101001716
Medical Identifiers
Medical identifiers for Dr Michelle Lauren Zickel Blew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891007688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 1048 (Maine) | Secondary |
| 152W00000X | Optometrist | 046010377 (Illinois) | Secondary |
| 152W00000X | Optometrist | 4902 (Massachusetts) | Secondary |
| 152W00000X | Optometrist | 1048 (Maine) | Secondary |
| 152W00000X | Optometrist | OEG002586 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nathan Corbell, Phd, Od, Inc | 9931355856 | 2 |
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 Michelle Lauren Zickel Blew allows following entities to bill medicare on her behalf.
| Entity Name | Nathan Corbell, Phd, Od, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891053005
PECOS PAC ID: 9931355856
Enrollment ID: O20120809000020 |
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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. Dr Michelle Lauren Zickel Blew 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 |
|---|
Dr Michelle Lauren Zickel Blew, OD
183 Port Rd Ste B,
Kennebunk, ME 04043-7735
Ph: (207) 216-9937 | Dr Michelle Lauren Zickel Blew, OD
183 Port Rd Ste B,
Kennebunk, ME 04043-7735
Ph: (207) 216-9937 |
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