Richard Allen Statesir, MD is a medicare enrolled "Ophthalmology" physician in Lakewood, Ohio. He went to Hahnemann University College Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
14701 Detroit Ave, Ste 280, Lakewood, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 228-9122.
Richard Allen Statesir is licensed to practice in Ohio (license number 35053677S) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699778142.
Physician's Profile
| Full Name | Richard Allen Statesir |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 43 Years |
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| Location | 14701 Detroit Ave, Lakewood, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- Richard Allen Statesir attended and graduated from Hahnemann University College Of Medicine in 1982
NPI Data:
- NPI Number: 1699778142
- Provider Enumeration Date: 05/28/2005
- Last Update Date: 02/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 6901970888
- Enrollment ID: I20120131000950
Medical Identifiers
Medical identifiers for Richard Allen Statesir such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699778142 | NPI | - | NPPES |
| 0626273 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 35053677S (Ohio) | 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. Richard Allen Statesir allows following entities to bill medicare on his behalf.
| Entity Name | Richard A. Statesir,md Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699090936
PECOS PAC ID: 7810015039
Enrollment ID: O20120131000941 |
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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. Richard Allen Statesir 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 |
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Richard Allen Statesir, MD
14701 Detroit Ave, Ste 280,
Lakewood, OH 44107-4109
Ph: (216) 228-9122 | Richard Allen Statesir, MD
14701 Detroit Ave, Ste 280,
Lakewood, OH 44107-4109
Ph: (216) 228-9122 |
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