Dr Paula Nutis-finneran, OD is a medicare enrolled "Optometrist" provider in Lake Grove, New York. Her current practice location is
2 Smith Haven Mall, Lake Grove, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 360-2108.
Dr Paula Nutis-finneran is licensed to practice in New York (license number TUV006915-1) 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 1215993050.
Healthcare Provider's Profile
| Full Name | Dr Paula Nutis-finneran |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 2 Smith Haven Mall, Lake Grove, 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: 1215993050
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082634373
- Enrollment ID: I20051201000385
Medical Identifiers
Medical identifiers for Dr Paula Nutis-finneran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215993050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TUV006915 (New York) | Secondary |
| 152W00000X | Optometrist | TUV006915-1 (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 Paula Nutis-finneran allows following entities to bill medicare on her behalf.
| Provider Name | Eyellusion Vision Center Incorporated |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245261593
PECOS PAC ID: 8426020777
Enrollment ID: O20040811000241 |
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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 Paula Nutis-finneran 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 Paula Nutis-finneran, OD
2 Smith Haven Mall,
Lake Grove, NY 11755-1219
Ph: () - | Dr Paula Nutis-finneran, OD
2 Smith Haven Mall,
Lake Grove, NY 11755-1219
Ph: (631) 360-2108 |
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