Dr Roger Marvin Allyn, OD is a medicare enrolled "Optometrist" provider in La Plata, New Mexico. His current practice location is
1170 Hwy 170, La Plata, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 325-2472.
Dr Roger Marvin Allyn is licensed to practice in New Mexico (license number 2219 OP) 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 1093979874.
Healthcare Provider's Profile
Full Name | Dr Roger Marvin Allyn |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1170 Hwy 170, La Plata, New Mexico |
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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: 1093979874
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 07/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406089911
- Enrollment ID: I20151105000725
Medical Identifiers
Medical identifiers for Dr Roger Marvin Allyn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093979874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2219 OP (New Mexico) | 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 Roger Marvin Allyn allows following entities to bill medicare on his behalf.
Provider Name | Bristol Bay Area Health Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
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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 Roger Marvin Allyn 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 Roger Marvin Allyn, OD Po Box 269, La Plata, NM 87418-0269 Ph: (505) 325-2472 | Dr Roger Marvin Allyn, OD 1170 Hwy 170, La Plata, NM 87418-0269 Ph: (505) 325-2472 |
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