Dr Douglass R Fruin, OD in Chicago, IL - Medicare Optometry Provider

Dr Douglass R Fruin, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. He went to Southern College Of Optometry and graduated in 2017 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Charles S Ovitsky Pc and his current practice location is 2736 N Clark St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 248-8866.

Dr Douglass R Fruin is licensed to practice in Illinois (license number 046.011575) 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 1427578681.

Contact Information

	Dr Douglass R Fruin, OD
	2736 N Clark St, Chicago, IL 60614-1503
	(773) 248-8866
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglass R Fruin
Gender	Male
Speciality	Optometry
Experience	8 Years
Location	2736 N Clark St, Chicago, Illinois
Accepts Medicare Assignments	Yes. 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 Douglass R Fruin attended and graduated from Southern College Of Optometry in 2017

NPI Data:

NPI Number: 1427578681
Provider Enumeration Date: 06/20/2017
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 5092066431
Enrollment ID: I20220103001204

Medical Identifiers

Medical identifiers for Dr Douglass R Fruin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427578681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1467 (Nebraska)	Secondary
152W00000X	Optometrist	046.011575 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charles S Ovitsky Pc	7012175102	10

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 Douglass R Fruin allows following entities to bill medicare on his behalf.

Provider Name	Charles S Ovitsky Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568647220 PECOS PAC ID: 7012175102 Enrollment ID: O20120608000015

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 Douglass R Fruin 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 Douglass R Fruin, OD 1825 N Winnebago Ave Apt 203, Chicago, IL 60647-6322 Ph: (308) 380-7558	Dr Douglass R Fruin, OD 2736 N Clark St, Chicago, IL 60614-1503 Ph: (773) 248-8866

Reviews and Comments

Optometrist in Chicago, IL

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Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774

Dr Douglass R Fruin, OD - Medicare Optometrist in Chicago, IL