Dr R Michael Fewell, OD is a medicare enrolled "Optometrist" provider in Kokomo, Indiana. His current practice location is
3421 S Lafountain St, Suite A, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 455-0404.
Dr R Michael Fewell is licensed to practice in Indiana (license number 18001678B) 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 1073599429.
Healthcare Provider's Profile
Full Name | Dr R Michael Fewell |
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Gender | Male |
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Speciality | Optometrist |
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Location | 3421 S Lafountain St, Kokomo, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073599429
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 04/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 2466518469
- Enrollment ID: I20090226000450
Medical Identifiers
Medical identifiers for Dr R Michael Fewell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073599429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18001678B (Indiana) | 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 R Michael Fewell allows following entities to bill medicare on his behalf.
Provider Name | Preferred Eye Care, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1093913303 PECOS PAC ID: 2163514993 Enrollment ID: O20070823000696 |
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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 R Michael Fewell 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 R Michael Fewell, OD 3421 S Lafountain St, Suite A, Kokomo, IN 46902-3801 Ph: (765) 455-0404 | Dr R Michael Fewell, OD 3421 S Lafountain St, Suite A, Kokomo, IN 46902-3801 Ph: (765) 455-0404 |
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