Dubois Vision Center is a medicare enrolled "Optometrist" provider in Dubois, Wyoming. Their current practice location is
1203 W Ramshorn Dr, Dubois, Wyoming. You can reach out to their office (for appointments etc.) via phone at
(307) 455-2125.
Dubois Vision Center is licensed to practice in Wyoming (license number 118T) and it also participates in the medicare program. Dubois Vision Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073505699.
Healthcare Provider's Profile
Full Name | Dubois Vision Center |
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Type | Facility |
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Speciality | Optometrist |
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Location | 1203 W Ramshorn Dr, Dubois, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073505699
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 07/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 5799768933
- Enrollment ID: O20040609001190
Medical Identifiers
Medical identifiers for Dubois Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073505699 | NPI | - | NPPES |
0762340001 | Other | WI | CIGNA MEDICARE |
104136300 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 118T (Wyoming) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dubois Vision Center acts as a billing entity for following providers:
Provider Name | Brian John Ballard |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1114919826 PECOS PAC ID: 2860491073 Enrollment ID: I20100927000695 |
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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. Dubois Vision Center 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 |
Dubois Vision Center Po Box 480, Dubois, WY 82513-0480 Ph: (307) 455-2125 | Dubois Vision Center 1203 W Ramshorn Dr, Dubois, WY 82513-0480 Ph: (307) 455-2125 |
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