Dr Phillip Bryan Tickner, OD is a medicare enrolled "Optometrist" provider in Leeds, Alabama. He went to University Alabama Birmingham - School Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. His current practice location is
8551 Whitfield Ave, Leeds, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 655-0719.
Dr Phillip Bryan Tickner is licensed to practice in Alabama (license number S-B65-TA-769) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124211990.
Healthcare Provider's Profile
| Full Name | Dr Phillip Bryan Tickner |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 17 Years |
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| Location | 8551 Whitfield Ave, Leeds, Alabama |
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| Accepts Medicare Assignments | Yes. He 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 Phillip Bryan Tickner attended and graduated from University Alabama Birmingham - School Of Optometry in 2007
NPI Data:
- NPI Number: 1124211990
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 11/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 0244368975
- Enrollment ID: I20100517000531
Medical Identifiers
Medical identifiers for Dr Phillip Bryan Tickner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124211990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | S-B65-TA-769 (Alabama) | 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 Phillip Bryan Tickner allows following entities to bill medicare on his behalf.
| Provider Name | Phillip B Tickner Od & Associates Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578890885
PECOS PAC ID: 9537297262
Enrollment ID: O20100517000496 |
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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 Phillip Bryan Tickner 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 |
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Dr Phillip Bryan Tickner, OD
109 Anderson Cir,
Trussville, AL 35173-1001
Ph: (205) 919-0671 | Dr Phillip Bryan Tickner, OD
8551 Whitfield Ave,
Leeds, AL 35094-7560
Ph: (205) 655-0719 |
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