Dr Jace Dale Martin Jr, OD is a medicare enrolled "Optometrist" provider in Old Hickory, Tennessee. He went to University Alabama Birmingham - School Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Optometry Unlimited, Llc and his current practice location is
1644 Stokley Ln, Old Hickory, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 310-5481.
Dr Jace Dale Martin Jr is licensed to practice in Tennessee (license number 3090) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1518305440.
Healthcare Provider's Profile
| Full Name | Dr Jace Dale Martin Jr |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 11 Years |
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| Location | 1644 Stokley Ln, Old Hickory, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jace Dale Martin Jr attended and graduated from University Alabama Birmingham - School Of Optometry in 2013
NPI Data:
- NPI Number: 1518305440
- Provider Enumeration Date: 06/13/2013
- Last Update Date: 10/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507090842
- Enrollment ID: I20130930000076
Medical Identifiers
Medical identifiers for Dr Jace Dale Martin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518305440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3090 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optometry Unlimited, Llc | 7517170012 | 3 |
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 Jace Dale Martin Jr allows following entities to bill medicare on his behalf.
| Provider Name | Politzer And Durocher Plc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396738720
PECOS PAC ID: 0840379921
Enrollment ID: O20090115000799 |
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| Provider Name | Calvert Opthalmology Psc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326210451
PECOS PAC ID: 5193740959
Enrollment ID: O20090729000648 |
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| Provider Name | Optometry Unlimited, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114043189
PECOS PAC ID: 7517170012
Enrollment ID: O20111018000824 |
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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 Jace Dale Martin Jr 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 |
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Dr Jace Dale Martin Jr, OD
1644 Stokley Ln,
Old Hickory, TN 37138-2356
Ph: (615) 310-5481 | Dr Jace Dale Martin Jr, OD
1644 Stokley Ln,
Old Hickory, TN 37138-2356
Ph: (615) 310-5481 |
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