Dr Matthew E Beaulieu, OD is a medicare enrolled "Optometrist" provider in Wilton, New York. His current practice location is
14 Mountain Ledge, Wilton, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 450-1080.
Dr Matthew E Beaulieu is licensed to practice in New York (license number 010027) 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 1457189383.
Healthcare Provider's Profile
| Full Name | Dr Matthew E Beaulieu |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 14 Mountain Ledge, Wilton, 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: 1457189383
- Provider Enumeration Date: 07/23/2024
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961942024
- Enrollment ID: I20240904003453
Medical Identifiers
Medical identifiers for Dr Matthew E Beaulieu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457189383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 010027 (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 Matthew E Beaulieu allows following entities to bill medicare on his behalf.
| Provider Name | Bryan Mattison And Rojek Ptrs |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982739785
PECOS PAC ID: 9537287735
Enrollment ID: O20110414000396 |
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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 Matthew E Beaulieu 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 Matthew E Beaulieu, OD
14 Mountain Ledge,
Wilton, NY 12831-1993
Ph: (518) 450-1080 | Dr Matthew E Beaulieu, OD
14 Mountain Ledge,
Wilton, NY 12831-1993
Ph: (518) 450-1080 |
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