Dr Richard Vandyke Packard, OD is a medicare enrolled "Optometrist" provider in Indian Wells, California. He went to Southern College Of Optometry and graduated in 1989 and has 36 years of diverse experience with area of expertise as Optometry. His current practice location is
74927 Us Highway 111, Indian Wells, California. You can reach out to his office (for appointments etc.) via phone at
(760) 568-2340.
Dr Richard Vandyke Packard is licensed to practice in California (license number 9332) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1942358320.
Healthcare Provider's Profile
| Full Name | Dr Richard Vandyke Packard |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 36 Years |
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| Location | 74927 Us Highway 111, Indian Wells, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Richard Vandyke Packard attended and graduated from Southern College Of Optometry in 1989
NPI Data:
- NPI Number: 1942358320
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 08/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961424452
- Enrollment ID: I20051227000641
Medical Identifiers
Medical identifiers for Dr Richard Vandyke Packard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942358320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WC0802X | Optometrist - Corneal And Contact Management | 9332TPA (California) | Secondary |
| 152W00000X | Optometrist | 9332 (California) | 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 Richard Vandyke Packard allows following entities to bill medicare on his behalf.
| Provider Name | Trilogy Eye Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114205432
PECOS PAC ID: 6406021658
Enrollment ID: O20111216000199 |
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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 Richard Vandyke Packard 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 Richard Vandyke Packard, OD
74927 Us Highway 111,
Indian Wells, CA 92210-7136
Ph: (760) 568-2340 | Dr Richard Vandyke Packard, OD
74927 Us Highway 111,
Indian Wells, CA 92210
Ph: (760) 568-2340 |
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