Dr Donald J Higgins, OD - Medicare Optometrist in Plainville, CT

Dr Donald J Higgins, OD is a medicare enrolled "Optometrist" provider in Plainville, Connecticut. He went to New England College Of Optometry and graduated in 1982 and has 42 years of diverse experience with area of expertise as Optometry. His current practice location is 74 E Main St, Plainville, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 793-9613.

Dr Donald J Higgins is licensed to practice in Connecticut (license number 955) 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 1023147428.

Contact Information

Dr Donald J Higgins, OD
74 E Main St,
Plainville, CT 06062-1936
(860) 793-9613
(860) 747-6880

Map and Direction




Healthcare Provider's Profile

Full NameDr Donald J Higgins
GenderMale
SpecialityOptometry
Experience42 Years
Location74 E Main St, Plainville, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donald J Higgins attended and graduated from New England College Of Optometry in 1982
  NPI Data:
  • NPI Number: 1023147428
  • Provider Enumeration Date: 03/04/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4486787082
  • Enrollment ID: I20100803000894

Medical Identifiers

Medical identifiers for Dr Donald J Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023147428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 955 (Connecticut)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 Donald J Higgins allows following entities to bill medicare on his behalf.
Provider NameHiggins Optical, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1821302753
PECOS PAC ID: 7517090046
Enrollment ID: O20100804000017

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 Donald J Higgins 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
Dr Donald J Higgins, OD
74 E Main St,
Plainville, CT 06062-1936

Ph: (860) 793-9613
Dr Donald J Higgins, OD
74 E Main St,
Plainville, CT 06062-1936

Ph: (860) 793-9613

Reviews and Comments


Optometrist in Plainville, CT

Dr. Gary R Maglio, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Main St, Plainville, CT 06062
Phone: 860-747-6443    Fax: 860-747-8019
Dr. Erin L Mccleary, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Main St, Plainville, CT 06062
Phone: 860-747-6443    Fax: 860-747-8019
Clear Horizon Eyecare, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 112 W Main St, Plainville, CT 06062
Phone: 860-747-6443    Fax: 860-747-8019
Plainville Optometrics Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 28 East St, Plainville, CT 06062
Phone: 860-793-9378    Fax: 860-793-2494
Higgins Optical, Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 74 E Main St, Plainville, CT 06062
Phone: 860-793-9613    Fax: 860-747-6880
Gary Maglio
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Main St, Plainville, CT 06062
Phone: 860-747-6443    Fax: 860-747-8019

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.