Edwin Detweiler Iii, OD in Bradenton, FL - Medicare Optometry Provider

Edwin Detweiler Iii, OD is a medicare enrolled "Optometrist" provider in Bradenton, Florida. He went to Pennsylvania College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Madison Street Provider Network Inc and his current practice location is 6002 Pointe West Blvd, Bradenton, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 792-2020.

Edwin Detweiler Iii is licensed to practice in Florida (license number OPC4016) 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 1154303923.

Contact Information

	Edwin Detweiler Iii, OD
	6002 Pointe West Blvd, Bradenton, FL 34209-5531
	(941) 792-2020
	(941) 782-1089

Map and Direction

Healthcare Provider's Profile

Full Name	Edwin Detweiler Iii
Gender	Male
Speciality	Optometry
Experience	19 Years
Location	6002 Pointe West Blvd, Bradenton, Florida
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:

Edwin Detweiler Iii attended and graduated from Pennsylvania College Of Optometry in 2005

NPI Data:

NPI Number: 1154303923
Provider Enumeration Date: 11/17/2005
Last Update Date: 03/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9739106543
Enrollment ID: I20210310000922

Medical Identifiers

Medical identifiers for Edwin Detweiler Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154303923	NPI	-	NPPES
621086400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC4016 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Madison Street Provider Network Inc	5193742948	10

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. Edwin Detweiler Iii allows following entities to bill medicare on his behalf.

Provider Name	Madison Street Provider Network Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699768663 PECOS PAC ID: 5193742948 Enrollment ID: O20051109000347

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. Edwin Detweiler Iii 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
Edwin Detweiler Iii, OD 6002 Pointe West Blvd, Bradenton, FL 34209-5531 Ph: (941) 792-2020	Edwin Detweiler Iii, OD 6002 Pointe West Blvd, Bradenton, FL 34209-5531 Ph: (941) 792-2020

Reviews and Comments

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Edwin Detweiler Iii, OD - Medicare Optometrist in Bradenton, FL