Dr Sammy L Pelletier, OD is a medicare enrolled "Optometrist" provider in York, Maine. He went to Pennsylvania College Of Optometry and graduated in 1983 and has 41 years of diverse experience with area of expertise as Optometry. His current practice location is
764 Route One, Unit 6, York, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 363-7555.
Dr Sammy L Pelletier is licensed to practice in Maine (license number OPT729) 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 1609841360.
Healthcare Provider's Profile
| Full Name | Dr Sammy L Pelletier |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 41 Years |
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| Location | 764 Route One, York, Maine |
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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 Sammy L Pelletier attended and graduated from Pennsylvania College Of Optometry in 1983
NPI Data:
- NPI Number: 1609841360
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 10/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052496007
- Enrollment ID: I20080819000418
Medical Identifiers
Medical identifiers for Dr Sammy L Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609841360 | NPI | - | NPPES |
| 018152 | Other | ME | STAR # |
| M22891 | Other | ME | CIGNA PROVIDER # |
| 130570000 | Medicaid | ME | |
| 2237986 | Other | ME | AETNA PROV. # |
| 30009894 | Other | ME | NH MEDICAID |
| MNT038 | Other | ME | HARVARD PILGRIM PROV. # |
| 5021708 | Other | ME | CIGNA PROVIDER # |
| 09Y000292ME01 | Other | ME | BLUE CROSS PROVIDER # |
| MM4138 | Other | | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT729 (Maine) | 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 Sammy L Pelletier allows following entities to bill medicare on his behalf.
| Provider Name | York Family Eyecare |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295918233
PECOS PAC ID: 8325123169
Enrollment ID: O20080304000708 |
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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 Sammy L Pelletier 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 Sammy L Pelletier, OD
764 Route One, Unit 6,
York, ME 03909-5879
Ph: (207) 363-7555 | Dr Sammy L Pelletier, OD
764 Route One, Unit 6,
York, ME 03909-5879
Ph: (207) 363-7555 |
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