Dr Jeffrey C Blum, OD is a medicare enrolled "Optometrist" provider in Lido Beach, New York. His current practice location is
56 Reynolds Dr, Lido Beach, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 361-3364.
Dr Jeffrey C Blum is licensed to practice in New York (license number TUV004648) 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 1588741052.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey C Blum |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 56 Reynolds Dr, Lido Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588741052
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 2062776560
- Enrollment ID: I20180509002505
Medical Identifiers
Medical identifiers for Dr Jeffrey C Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588741052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TUV004648 (New York) | 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 Jeffrey C Blum allows following entities to bill medicare on his behalf.
| Provider Name | Empire Vision Center Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750358826
PECOS PAC ID: 4688573876
Enrollment ID: O20040107000405 |
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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 Jeffrey C Blum 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 Jeffrey C Blum, OD
56 Reynolds Dr,
Lido Beach, NY 11561-4928
Ph: (516) 889-0337 | Dr Jeffrey C Blum, OD
56 Reynolds Dr,
Lido Beach, NY 11561-4928
Ph: (516) 361-3364 |
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