Davenport Eye Group Pc is a medicare enrolled "Ophthalmology" provider in Davenport, Iowa. Their current practice location is
1230 E Rusholme St, Ste 203, Davenport, Iowa. You can reach out to their office (for appointments etc.) via phone at
(563) 322-0923.
Davenport Eye Group Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Davenport Eye Group Pc
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 1508838954.
Healthcare Provider's Profile
| Full Name | Davenport Eye Group Pc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1230 E Rusholme St, Davenport, Iowa |
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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: 1508838954
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 09/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 4385536432
- Enrollment ID: O20040325000794
Medical Identifiers
Medical identifiers for Davenport Eye Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508838954 | NPI | - | NPPES |
| 0286468 | Medicaid | IA | |
| CE7597 | Other | | MEDICARE RR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Davenport Eye Group Pc acts as a billing entity for following providers:
| Provider Name | Amanda L Bailey |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1518124841
PECOS PAC ID: 4486726932
Enrollment ID: I20080628000118 |
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| Provider Name | Siv Brit Saetre |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1013989441
PECOS PAC ID: 7719879865
Enrollment ID: I20100811000306 |
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| Provider Name | Ashok R Penmatcha |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1174595516
PECOS PAC ID: 5193859288
Enrollment ID: I20100811000383 |
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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. Davenport Eye Group Pc 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 |
|---|
Davenport Eye Group Pc
1230 E Rusholme St, Ste 203,
Davenport, IA 52803-2400
Ph: (563) 322-0923 | Davenport Eye Group Pc
1230 E Rusholme St, Ste 203,
Davenport, IA 52803-2400
Ph: (563) 322-0923 |
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