Dr Blaze Sammon, OD in Tuscaloosa, AL - Medicare Optometrist Provider

Dr Blaze Sammon, OD is a medicare enrolled "Optometrist" provider in Tuscaloosa, Alabama. His current practice location is 3501 Mcfarland Blvd E, Tuscaloosa, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 556-7950.

Dr Blaze Sammon is licensed to practice in Alabama (license number S-F07-TA-C67) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093442121.

Contact Information

	Dr Blaze Sammon, OD
	3501 Mcfarland Blvd E, Tuscaloosa, AL 35405-2419
	(205) 556-7950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Blaze Sammon
Gender	Male
Speciality	Optometrist
Location	3501 Mcfarland Blvd E, Tuscaloosa, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093442121
Provider Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8729443551
Enrollment ID: I20230502000056

Medical Identifiers

Medical identifiers for Dr Blaze Sammon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093442121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-F07-TA-C67 (Alabama)	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 Blaze Sammon allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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 Blaze Sammon 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 Blaze Sammon, OD 209 Hill St, Niagara, WI 54151-1411 Ph: (616) 710-9939	Dr Blaze Sammon, OD 3501 Mcfarland Blvd E, Tuscaloosa, AL 35405-2419 Ph: (205) 556-7950

Reviews and Comments

Optometrist in Tuscaloosa, AL

Dr. Haley Henson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 925 Mally St, Tuscaloosa, AL 35405 Phone: 205-344-5111
Dr. Wesley A Dubose, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1800 Mcfarland Blvd E, Suite 406, Tuscaloosa, AL 35404 Phone: 205-342-0745 Fax: 205-345-0475
Global Eye Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1501 Skyland Blvd E, Tuscaloosa, AL 35405 Phone: 205-750-8529 Fax: 205-750-8971
Dr. Nathan A Whitaker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa Vamc, Tuscaloosa, AL 35404 Phone: 205-554-2822
Dr. Colleen Stanley Dent, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Skyland Blvd E, In Sams Club Optical, Tuscaloosa, AL 35405 Phone: 205-345-3893 Fax: 205-345-3896
Dr. Matthew Daniel Box, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1501 Skyland Blvd E, Tuscaloosa, AL 35405 Phone: 205-750-8529

Dr Blaze Sammon, OD - Medicare Optometrist in Tuscaloosa, AL