Dr. Daniel Desrivieres Odpc is a medicare enrolled "Eyewear Supplier" provider in Orange, New Jersey. Their current practice location is
32 N Day St, Orange, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(973) 676-8113.
Dr. Daniel Desrivieres Odpc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dr. Daniel Desrivieres Odpc
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 1295058915.
Healthcare Provider's Profile
| Full Name | Dr. Daniel Desrivieres Odpc |
|---|
| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 32 N Day St, Orange, New Jersey |
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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: 1295058915
- Provider Enumeration Date: 03/09/2010
- Last Update Date: 02/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 2769454180
- Enrollment ID: O20040806001024
Medical Identifiers
Medical identifiers for Dr. Daniel Desrivieres Odpc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295058915 | NPI | - | NPPES |
| 0735108 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | 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. Daniel Desrivieres Odpc acts as a billing entity for following providers:
| Provider Name | Daniel Desrivieres |
|---|
| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1619041506
PECOS PAC ID: 7416927637
Enrollment ID: I20040727000600 |
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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. Daniel Desrivieres Odpc 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. Daniel Desrivieres Odpc
32 N Day St,
Orange, NJ 07050-3609
Ph: (973) 676-8113 | Dr. Daniel Desrivieres Odpc
32 N Day St,
Orange, NJ 07050-3609
Ph: (973) 676-8113 |
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