Darrell E Groman Od Llc is a medicare enrolled "Optometrist - Vision Therapy" provider in Pandora, Ohio. Their current practice location is
204 Hilty Drive, Pandora, Ohio. You can reach out to their office (for appointments etc.) via phone at
(409) 384-3275.
Darrell E Groman Od Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Darrell E Groman Od Llc
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 1548778160.
Healthcare Provider's Profile
| Full Name | Darrell E Groman Od Llc |
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| Type | Facility |
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| Speciality | Optometrist - Vision Therapy |
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| Location | 204 Hilty Drive, Pandora, Ohio |
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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: 1548778160
- Provider Enumeration Date: 01/17/2018
- Last Update Date: 09/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 8820348634
- Enrollment ID: O20190419000758
Medical Identifiers
Medical identifiers for Darrell E Groman Od Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548778160 | NPI | - | NPPES |
| 0597420 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Darrell E Groman Od Llc acts as a billing entity for following providers:
| Provider Name | Darrell E Groman |
|---|
| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1528031564
PECOS PAC ID: 3476622986
Enrollment ID: I20080522000568 |
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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. Darrell E Groman Od Llc 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 |
|---|
Darrell E Groman Od Llc
204 Hilty Drive, P.o. Box 209,
Pandora, OH 45877-0209
Ph: (419) 384-3275 | Darrell E Groman Od Llc
204 Hilty Drive,
Pandora, OH 45877-0209
Ph: (409) 384-3275 |
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