Dr Marina Davydova, OD is a medicare enrolled "Optometrist" provider in Briarwood, New York. Her current practice location is
13530 82nd Dr Apt 4n, Briarwood, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 285-3223.
Dr Marina Davydova is licensed to practice in New York (license number 008652) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740793843.
Healthcare Provider's Profile
| Full Name | Dr Marina Davydova |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 13530 82nd Dr Apt 4n, Briarwood, 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: 1740793843
- Provider Enumeration Date: 11/10/2017
- Last Update Date: 11/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 5395005151
- Enrollment ID: I20180216000540
Medical Identifiers
Medical identifiers for Dr Marina Davydova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740793843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 008652 (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 Marina Davydova allows following entities to bill medicare on her behalf.
| Provider Name | Optical 161 Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487958831
PECOS PAC ID: 5890971337
Enrollment ID: O20110517000471 |
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| Provider Name | Jamaica Vision Center Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699209353
PECOS PAC ID: 3779855473
Enrollment ID: O20170815003562 |
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| Provider Name | Liberty Eyecare Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194247619
PECOS PAC ID: 1850666140
Enrollment ID: O20171012002665 |
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| Provider Name | Crystal Eyewear Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770068645
PECOS PAC ID: 5799023271
Enrollment ID: O20190207001143 |
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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 Marina Davydova 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 Marina Davydova, OD
13530 82nd Dr Apt 4n,
Briarwood, NY 11435-1493
Ph: (347) 285-3223 | Dr Marina Davydova, OD
13530 82nd Dr Apt 4n,
Briarwood, NY 11435-1493
Ph: (347) 285-3223 |
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