Dr Toby Palm, OD is a medicare enrolled "Optometrist" provider in Sutherlin, Oregon. He went to Pacific University - College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. His current practice location is
201 Dakota Street, Sutherlin, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 459-4333.
Dr Toby Palm is licensed to practice in Oregon (license number 2872T) 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 1366430936.
Healthcare Provider's Profile
| Full Name | Dr Toby Palm |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 22 Years |
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| Location | 201 Dakota Street, Sutherlin, Oregon |
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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 Toby Palm attended and graduated from Pacific University - College Of Optometry in 2002
NPI Data:
- NPI Number: 1366430936
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 07/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375443260
- Enrollment ID: I20061016000593
Medical Identifiers
Medical identifiers for Dr Toby Palm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366430936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1327 (Arizona) | Secondary |
| 152W00000X | Optometrist | 2872T (Oregon) | 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 Toby Palm allows following entities to bill medicare on his behalf.
| Provider Name | Toby J. Palm O.d., P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407969322
PECOS PAC ID: 6507964467
Enrollment ID: O20070531000343 |
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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 Toby Palm 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 Toby Palm, OD
201 Dakota Street,
Sutherlin, OR 97479-9113
Ph: (541) 459-4333 | Dr Toby Palm, OD
201 Dakota Street,
Sutherlin, OR 97479-9113
Ph: (541) 459-4333 |
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