Dr Sally Hacking, OD in Rexburg, ID - Medicare Optometrist Provider

Dr Sally Hacking, OD is a medicare enrolled "Optometrist" provider in Rexburg, Idaho. Her current practice location is 244 E Main St, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 359-1880.

Dr Sally Hacking is licensed to practice in Idaho (license number ODP 100024) 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 1609982271.

Contact Information

	Dr Sally Hacking, OD
	244 E Main St, Rexburg, ID 83440-2022
	(208) 359-1880
	(208) 359-2025

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sally Hacking
Gender	Female
Speciality	Optometrist
Location	244 E Main St, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609982271
Provider Enumeration Date: 08/23/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 1153399761
Enrollment ID: I20040923001241

Medical Identifiers

Medical identifiers for Dr Sally Hacking such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609982271	NPI	-	NPPES
863683	Other	ID	DESERET MUTUAL
000010147629	Other	ID	BLUE SHIELD OF IDAHO
806951200	Medicaid	ID
V6507	Other	ID	BLUE CROSS OF IDAHO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ODP 100024 (Idaho)	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 Sally Hacking allows following entities to bill medicare on her behalf.

Provider Name	Madison Clinic Optometry, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598876997 PECOS PAC ID: 8426026030 Enrollment ID: O20040922000042

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 Sally Hacking 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 Sally Hacking, OD 244 E Main St, Rexburg, ID 83440-2022 Ph: (208) 359-1880	Dr Sally Hacking, OD 244 E Main St, Rexburg, ID 83440-2022 Ph: (208) 359-1880

Reviews and Comments

Optometrist in Rexburg, ID

Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025

Dr Sally Hacking, OD - Medicare Optometrist in Rexburg, ID