Dr Justin Tyler Reid, OD is a medicare enrolled "Optometrist" provider in Portland, Tennessee. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Politzer And Durocher Plc and his current practice location is
605 S Broadway St, Portland, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 636-8671.
Dr Justin Tyler Reid is licensed to practice in Tennessee (license number 3752) 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 1508597469.
Healthcare Provider's Profile
Full Name | Dr Justin Tyler Reid |
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Gender | Male |
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Speciality | Optometry |
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Experience | 2 Years |
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Location | 605 S Broadway St, Portland, Tennessee |
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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 Justin Tyler Reid graduated from medical school in 2022
NPI Data:
- NPI Number: 1508597469
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052795952
- Enrollment ID: I20220825004113
Medical Identifiers
Medical identifiers for Dr Justin Tyler Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508597469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3752 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Politzer And Durocher Plc | 0840379921 | 7 |
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 Justin Tyler Reid 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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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 Justin Tyler Reid 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 Justin Tyler Reid, OD 402 Ranch Rd, Portland, TN 37148-5367 Ph: () - | Dr Justin Tyler Reid, OD 605 S Broadway St, Portland, TN 37148-1619 Ph: (615) 636-8671 |
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