Carlisle Vision Clinic Pllc is a medicare enrolled "Optometrist" provider in Beaver, Oklahoma. Their current practice location is
712 Avenue A, Beaver, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 625-2020.
Carlisle Vision Clinic Pllc is licensed to practice in Oklahoma (license number 2685) and it also participates in the medicare program. Carlisle Vision Clinic Pllc
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 1407130313.
Healthcare Provider's Profile
| Full Name | Carlisle Vision Clinic Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 712 Avenue A, Beaver, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407130313
- Provider Enumeration Date: 10/11/2011
- Last Update Date: 03/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 5294901401
- Enrollment ID: O20120110000080
Medical Identifiers
Medical identifiers for Carlisle Vision Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407130313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2685 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Carlisle Vision Clinic Pllc acts as a billing entity for following providers:
| Provider Name | Trey D Carlisle |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1629357116
PECOS PAC ID: 6901072420
Enrollment ID: I20120105000417 |
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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. Carlisle Vision Clinic Pllc 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 |
|---|
Carlisle Vision Clinic Pllc
712 Avenue A,
Beaver, OK 73932-3101
Ph: (580) 625-2020 | Carlisle Vision Clinic Pllc
712 Avenue A,
Beaver, OK 73932-3101
Ph: (580) 625-2020 |
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