Dr. Blake Mitnick, Optometrist, Plc is a medicare enrolled "Optometrist" provider in Floyd, Virginia. Their current practice location is
211 W Main St, Floyd, Virginia. You can reach out to their office (for appointments etc.) via phone at
(540) 745-8733.
Dr. Blake Mitnick, Optometrist, Plc is licensed to practice in Virginia (license number 0618000582) and it also participates in the medicare program. Dr. Blake Mitnick, Optometrist, Plc
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 1013018423.
Healthcare Provider's Profile
Full Name | Dr. Blake Mitnick, Optometrist, Plc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 211 W Main St, Floyd, Virginia |
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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: 1013018423
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 11/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 5395841225
- Enrollment ID: O20070509000326
Medical Identifiers
Medical identifiers for Dr. Blake Mitnick, Optometrist, Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013018423 | NPI | - | NPPES |
1013018423 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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.
Dr. Blake Mitnick, Optometrist, Plc acts as a billing entity for following providers:
Provider Name | Blake A Mitnick |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1275504367 PECOS PAC ID: 6204826936 Enrollment ID: I20040514000853 |
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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, Optometrist, Plc 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 |
Dr. Blake Mitnick, Optometrist, Plc 211 W Main St, Floyd, VA 24091-3190 Ph: (540) 745-8733 | Dr. Blake Mitnick, Optometrist, Plc 211 W Main St, Floyd, VA 24091-3190 Ph: (540) 745-8733 |
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