Columbia Basin Eye Clinic Ps is a medicare enrolled "Ophthalmology" provider in Moses Lake, Washington. Their current practice location is
1022 W Ivy Ave, Moses Lake, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 765-7845.
Columbia Basin Eye Clinic Ps is licensed to practice in Washington (license number MD000029599) and it also participates in the medicare program. Columbia Basin Eye Clinic Ps
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 1124159736.
Healthcare Provider's Profile
Full Name | Columbia Basin Eye Clinic Ps |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 1022 W Ivy Ave, Moses Lake, Washington |
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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: 1124159736
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 05/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 4183513435
- Enrollment ID: O20040313000509
Medical Identifiers
Medical identifiers for Columbia Basin Eye Clinic Ps such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124159736 | NPI | - | NPPES |
G319211400 | Other | WA | PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OD00002028 (Washington) | Secondary |
207W00000X | Ophthalmology | MD000029599 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Columbia Basin Eye Clinic Ps acts as a billing entity for following providers:
Provider Name | Timothy C Thomas |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1548250905 PECOS PAC ID: 0446281927 Enrollment ID: I20050824000672 |
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Provider Name | Brian P Roth |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1649273889 PECOS PAC ID: 6204914260 Enrollment ID: I20110221000495 |
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Provider Name | Janet L Huber |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1598768731 PECOS PAC ID: 2264615046 Enrollment ID: I20110401000162 |
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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. Columbia Basin Eye Clinic Ps 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 |
Columbia Basin Eye Clinic Ps 1022 W Ivy Ave, Moses Lake, WA 98837-4107 Ph: (509) 765-7845 | Columbia Basin Eye Clinic Ps 1022 W Ivy Ave, Moses Lake, WA 98837-4107 Ph: (509) 765-7845 |
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