- Medicare Optometrist in Demotte, IN

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is a medicare enrolled "Optometrist" provider in Demotte, Indiana. Their current practice location is 609 N Halleck St, Demotte, Indiana. You can reach out to their office (for appointments etc.) via phone at (219) 987-3673.

is licensed to practice in Indiana (license number 18002342) and it also participates in the medicare program. 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 1972513653.

Contact Information

609 N Halleck St,
Demotte, IN 46310-9545
(219) 987-3673
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location609 N Halleck St, Demotte, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972513653
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 12/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2860421922
  • Enrollment ID: O20050809000472

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972513653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18002342 (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJohn M Deboer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770566556
PECOS PAC ID: 0840229902
Enrollment ID: I20120201000663
Provider NameBrant T Molenaar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942307053
PECOS PAC ID: 9638362379
Enrollment ID: I20150211000187
Provider NameKevin Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538246855
PECOS PAC ID: 3274559513
Enrollment ID: I20230203002427

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. 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 AddressPractice Location Address

Po Box 849, 609 N. Halleck Street,
Demotte, IN 46310-0849

Ph: (219) 987-3673
609 N Halleck St,
Demotte, IN 46310-9545

Ph: (219) 987-3673

Reviews and Comments


Optometrist in Demotte, IN

Dr. John Mark Deboer, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    Fax: 219-987-3905

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    Fax: 219-987-3905
Dr. Gerrit H. Devries, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    Fax: 219-987-3905

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.