Dr Jason Edward Cavanaugh, OD is a medicare enrolled "Optometrist" provider in Lisbon, Connecticut. His current practice location is
180 River Rd, Lisbon, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 376-8431.
Dr Jason Edward Cavanaugh is licensed to practice in Connecticut (license number CT2520) 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 1124183660.
Healthcare Provider's Profile
Full Name | Dr Jason Edward Cavanaugh |
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Gender | Male |
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Speciality | Optometrist |
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Location | 180 River Rd, Lisbon, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124183660
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678922473
- Enrollment ID: I20231205002592
Medical Identifiers
Medical identifiers for Dr Jason Edward Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124183660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | CT2520 (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 Jason Edward Cavanaugh allows following entities to bill medicare on his behalf.
Provider Name | Refocus Eye Health Of Central Connecticut Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548874936 PECOS PAC ID: 5597176834 Enrollment ID: O20201118000388 |
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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 Jason Edward Cavanaugh 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 Jason Edward Cavanaugh, OD 87 Dickinson Rd, S Glastonbury, CT 06073 Ph: (860) 376-8431 | Dr Jason Edward Cavanaugh, OD 180 River Rd, Lisbon, CT 06351 Ph: (860) 376-8431 |
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