Dr Douglas Eric Widmer, OD in South Bend, IN - Medicare Optometrist Provider

Dr Douglas Eric Widmer, OD is a medicare enrolled "Optometrist" provider in South Bend, Indiana. His current practice location is 4121 S. Michigan Street, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 291-9200.

Dr Douglas Eric Widmer is licensed to practice in Indiana (license number 18003697A) 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 1710269550.

Contact Information

	Dr Douglas Eric Widmer, OD
	4121 S. Michigan Street, South Bend, IN 46614-2545
	(574) 291-9200
	(574) 299-4423

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglas Eric Widmer
Gender	Male
Speciality	Optometrist
Location	4121 S. Michigan Street, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710269550
Provider Enumeration Date: 09/19/2011
Last Update Date: 03/25/2013

Medicare PECOS Information:

PECOS PAC ID: 8224200555
Enrollment ID: I20140920000068

Medical Identifiers

Medical identifiers for Dr Douglas Eric Widmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710269550	NPI	-	NPPES
201034430	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003697A (Indiana)	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 Douglas Eric Widmer allows following entities to bill medicare on his behalf.

Provider Name	State Of Ohio Office Of Budget And Management State Accounting
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209

Provider Name	Ohio State University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710900683 PECOS PAC ID: 6103866207 Enrollment ID: O20050509000419

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 Douglas Eric Widmer 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 Douglas Eric Widmer, OD 4121 S. Michigan Street, South Bend, IN 46614-2545 Ph: (574) 291-9200	Dr Douglas Eric Widmer, OD 4121 S. Michigan Street, South Bend, IN 46614-2545 Ph: (574) 291-9200

Reviews and Comments

Optometrist in South Bend, IN

Naing Eye Care & Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2054 E Ireland Rd, South Bend, IN 46614 Phone: 574-401-8142 Fax: 574-401-8143
Christopher J. Wolf, Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4123 S Michigan St, South Bend, IN 46614 Phone: 574-291-8900 Fax: 574-299-8503
Michiana Eye Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 319 N Niles Ave # 100, South Bend, IN 46617 Phone: 574-282-2020 Fax: 574-288-2020
Daniel O. Elliott Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 N Ironwood Dr, South Bend, IN 46615 Phone: 574-233-3617 Fax: 574-280-7355
Dr. Ronald Milovich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2004 Edison Rd, Suite A, South Bend, IN 46617 Phone: 574-288-2400 Fax: 574-288-7132
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 315 W Ireland Rd # 103, South Bend, IN 46614 Phone: 574-291-9200 Fax: 574-291-9859
Dr. Brian Andrew Faust, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 N Ironwood Dr, South Bend, IN 46615 Phone: 574-289-3937 Fax: 574-280-7355

Dr Douglas Eric Widmer, OD - Medicare Optometrist in South Bend, IN