Dr. Michael Wade Jorgensen Od Llc is a
Optometrist based in Benton, Louisiana. Dr. Michael Wade Jorgensen Od Llc is licensed to practice in Louisiana (license number 1590623T) and their current practice location is
187 Burt Blvd, Ste A, Benton, Louisiana. It can be reached at their office (for appointments etc.) via phone at
(318) 935-5080.
NPI number for Dr. Michael Wade Jorgensen Od Llc is 1144677899 and their current mailing address is 187 Burt Blvd, Ste A, Benton, Louisiana. Dr. Michael Wade Jorgensen Od Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1144677899.
Healthcare Provider's Profile
Full Name | Dr. Michael Wade Jorgensen Od Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 187 Burt Blvd, Benton, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144677899
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 05/23/2016
Medical Identifiers
Medical identifiers for Dr. Michael Wade Jorgensen Od Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144677899 | NPI | - | NPPES |
2394495 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1590623T (Louisiana) | Primary |
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. Michael Wade Jorgensen Od Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr. Michael Wade Jorgensen Od Llc 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 | Dr. Michael Wade Jorgensen Od Llc 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 |
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