Dr John Mark Deboer, OD in Demotte, IN - Medicare Optometry Provider

Dr John Mark Deboer, OD is a medicare enrolled "Optometrist" provider in Demotte, Indiana. He went to Illinois College Of Optometry At Chicago and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Deboer Od Ltd and his current practice location is 609 N Halleck St, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 987-3673.

Dr John Mark Deboer is licensed to practice in Indiana (license number 18002449) 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 1770566556.

Contact Information

	Dr John Mark Deboer, OD
	609 N Halleck St, Demotte, IN 46310-9545
	(219) 987-3673
	(219) 987-3905

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Mark Deboer
Gender	Male
Speciality	Optometry
Experience	34 Years
Location	609 N Halleck St, Demotte, Indiana
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 John Mark Deboer attended and graduated from Illinois College Of Optometry At Chicago in 1990

NPI Data:

NPI Number: 1770566556
Provider Enumeration Date: 11/25/2005
Last Update Date: 09/02/2010

Medicare PECOS Information:

PECOS PAC ID: 0840229902
Enrollment ID: I20120201000663

Medical Identifiers

Medical identifiers for Dr John Mark Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770566556	NPI	-	NPPES
200395230	Medicaid	IN
K48802	Other	IL	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18002449 (Indiana)	Primary
152W00000X	Optometrist	046-008335 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deboer Od Ltd	2860421922	2

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 John Mark Deboer allows following entities to bill medicare on his behalf.

Provider Name	Deboer Od Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972513653 PECOS PAC ID: 2860421922 Enrollment ID: O20050809000472

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 John Mark Deboer 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 John Mark Deboer, OD Po Box 849, Demotte, IN 46310-0849 Ph: (219) 987-3673	Dr John Mark Deboer, OD 609 N Halleck St, Demotte, IN 46310-9545 Ph: (219) 987-3673

Reviews and Comments

Optometrist in Demotte, IN

De Boer Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673 Fax: 219-987-3905
Deboer Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673
Dr. Gerrit H. Devries, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 609 N Halleck St, Demotte, IN 46310 Phone: 219-987-3673 Fax: 219-987-3905

Dr John Mark Deboer, OD - Medicare Optometrist in Demotte, IN