Dr Mary Martha Futch, OD is a medicare enrolled "Optometrist" provider in Macclenny, Florida. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Optometry. Her current practice location is
31 S 6th St, Macclenny, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 259-6259.
Dr Mary Martha Futch is licensed to practice in Florida (license number 2517) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356361208.
Healthcare Provider's Profile
| Full Name | Dr Mary Martha Futch |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 35 Years |
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| Location | 31 S 6th St, Macclenny, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Martha Futch graduated from medical school in 1989
NPI Data:
- NPI Number: 1356361208
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092976365
- Enrollment ID: I20120509000521
Medical Identifiers
Medical identifiers for Dr Mary Martha Futch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356361208 | NPI | - | NPPES |
| 620401500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2517 (Florida) | 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 Mary Martha Futch allows following entities to bill medicare on her behalf.
| Provider Name | Mary M Futch Od Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508122854
PECOS PAC ID: 4183885437
Enrollment ID: O20120412000414 |
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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 Mary Martha Futch 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 Mary Martha Futch, OD
9863 Old Plank Rd,
Jacksonville, FL 32220-1335
Ph: (904) 783-8613 | Dr Mary Martha Futch, OD
31 S 6th St,
Macclenny, FL 32063-2311
Ph: (904) 259-6259 |
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