Avera Medical Group Optometry Tracy is a medicare enrolled "Optometrist" provider in Tracy, Minnesota. Their current practice location is
505 State St, Tracy, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(507) 629-3230.
Avera Medical Group Optometry Tracy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Avera Medical Group Optometry Tracy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487958062.
Healthcare Provider's Profile
Full Name | Avera Medical Group Optometry Tracy |
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Type | Facility |
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Speciality | Optometrist |
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Location | 505 State St, Tracy, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487958062
- Provider Enumeration Date: 12/22/2010
- Last Update Date: 12/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799695227
- Enrollment ID: O20110422000253
Medical Identifiers
Medical identifiers for Avera Medical Group Optometry Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487958062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Avera Medical Group Optometry Tracy 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 |
Avera Medical Group Optometry Tracy 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 532-9661 | Avera Medical Group Optometry Tracy 505 State St, Tracy, MN 56175-1539 Ph: (507) 629-3230 |
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