Canadian Lakes Eyecare is a medicare enrolled "Optometrist" provider in Canadian Lakes, Michigan. Their current practice location is
10085 Buchanan Rd, Canadian Lakes, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 972-3937.
Canadian Lakes Eyecare is licensed to practice in Michigan (license number 4901004486) and it also participates in the medicare program. Canadian Lakes Eyecare
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 1780810598.
Healthcare Provider's Profile
Full Name | Canadian Lakes Eyecare |
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Type | Facility |
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Speciality | Optometrist |
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Location | 10085 Buchanan Rd, Canadian Lakes, Michigan |
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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: 1780810598
- Provider Enumeration Date: 06/08/2009
- Last Update Date: 06/08/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789735333
- Enrollment ID: O20090622000681
Medical Identifiers
Medical identifiers for Canadian Lakes Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780810598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901004486 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Canadian Lakes Eyecare acts as a billing entity for following providers:
Provider Name | Mary E Miller |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1285899542 PECOS PAC ID: 7113089921 Enrollment ID: I20090102000172 |
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Provider Name | Alison M Jenerou |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1861770158 PECOS PAC ID: 2961672522 Enrollment ID: I20110909002488 |
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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. Canadian Lakes Eyecare 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 |
Canadian Lakes Eyecare 10085 Buchanan Rd, Canadian Lakes, MI 49346-9762 Ph: (231) 972-3937 | Canadian Lakes Eyecare 10085 Buchanan Rd, Canadian Lakes, MI 49346-9762 Ph: (231) 972-3937 |
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