Dr Blake Mitnick, OD is a medicare enrolled "Optometrist" provider in Floyd, Virginia. He went to New England College Of Optometry and graduated in 1983 and has 41 years of diverse experience with area of expertise as Optometry. His current practice location is
211 W Main St, Floyd, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 745-8733.
Dr Blake Mitnick is licensed to practice in Virginia (license number 0618000582) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275504367.
Healthcare Provider's Profile
| Full Name | Dr Blake Mitnick |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 41 Years |
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| Location | 211 W Main St, Floyd, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Blake Mitnick attended and graduated from New England College Of Optometry in 1983
NPI Data:
- NPI Number: 1275504367
- Provider Enumeration Date: 01/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204826936
- Enrollment ID: I20040514000853
Medical Identifiers
Medical identifiers for Dr Blake Mitnick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275504367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 0618000582 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Blake Mitnick allows following entities to bill medicare on his behalf.
| Provider Name | Dr. Blake Mitnick, Optometrist, Plc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013018423
PECOS PAC ID: 5395841225
Enrollment ID: O20070509000326 |
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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. Dr Blake Mitnick 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 |
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Dr Blake Mitnick, OD
211 W Main St,
Floyd, VA 24091-3190
Ph: (540) 745-8733 | Dr Blake Mitnick, OD
211 W Main St,
Floyd, VA 24091-3190
Ph: (540) 745-8733 |
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