Edward E Sauble Jr, OD is a medicare enrolled "Optometrist" provider in Taneytown, Maryland. He went to Southern College Of Optometry and graduated in 1982 and has 43 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Vision 2020 and his current practice location is
6 Antrim St, Taneytown, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 756-1160.
Edward E Sauble Jr is licensed to practice in Maryland (license number TA0844) 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 1174511885.
Healthcare Provider's Profile
Full Name | Edward E Sauble Jr |
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Gender | Male |
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Speciality | Optometry |
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Experience | 43 Years |
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Location | 6 Antrim St, Taneytown, Maryland |
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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. |
Medical Education and Training:
- Edward E Sauble Jr attended and graduated from Southern College Of Optometry in 1982
NPI Data:
- NPI Number: 1174511885
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890829287
- Enrollment ID: I20100820000735
Medical Identifiers
Medical identifiers for Edward E Sauble Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174511885 | NPI | - | NPPES |
111658400 | Medicaid | MD | |
351618100 | Medicaid | MD | |
X653EE | Other | MD | CAREFIRST |
402409-02 | Other | MD | CAREFIRST |
LX71LO | Other | MD | CAREFIRST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA0844 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vision 2020 | 9638503600 | 3 |
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. Edward E Sauble Jr allows following entities to bill medicare on his behalf.
Provider Name | Longmeadow Eyecare Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417944299 PECOS PAC ID: 6901895499 Enrollment ID: O20040510001084 |
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Provider Name | John C Baer Md Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1508979808 PECOS PAC ID: 6901862259 Enrollment ID: O20050318000170 |
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Provider Name | Vision 2020 |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1013559673 PECOS PAC ID: 9638503600 Enrollment ID: O20230331000092 |
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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. Edward E Sauble Jr 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 |
Edward E Sauble Jr, OD 6 Antrim St, Taneytown, MD 21787-2237 Ph: (410) 751-1160 | Edward E Sauble Jr, OD 6 Antrim St, Taneytown, MD 21787-2237 Ph: (410) 756-1160 |
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