Ethan T Mengle, OD - Medicare Optometrist in Medina, OH

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Ethan T Mengle, OD is a medicare enrolled "Optometrist" provider in Medina, Ohio. His current practice location is 409 N Court St, Medina, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 725-4680.

Ethan T Mengle is licensed to practice in Ohio (license number OPT.006684) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417449174.

Contact Information

Ethan T Mengle, OD
409 N Court St,
Medina, OH 44256-1869
(330) 725-4680
(330) 633-7165

Map and Direction




Healthcare Provider's Profile

Full NameEthan T Mengle
GenderMale
SpecialityOptometrist
Location409 N Court St, Medina, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417449174
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 06/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527313535
  • Enrollment ID: I20180615000251

Medical Identifiers

Medical identifiers for Ethan T Mengle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417449174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT.006684 (Ohio)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. Ethan T Mengle allows following entities to bill medicare on his behalf.
Provider NameSystem Optics Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245275544
PECOS PAC ID: 1153303334
Enrollment ID: O20040602000713
Provider NameWrea Ii Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780696617
PECOS PAC ID: 5193796670
Enrollment ID: O20040805001611
Provider NameClarkson Optometry Midwest Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073917597
PECOS PAC ID: 0749504165
Enrollment ID: O20150113001118

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. Ethan T Mengle 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 AddressPractice Location Address
Ethan T Mengle, OD
Po Box 207170,
Dallas, TX 75320-7173

Ph: (636) 200-4393		Ethan T Mengle, OD
409 N Court St,
Medina, OH 44256-1869

Ph: (330) 725-4680

Reviews and Comments


Optometrist in Medina, OH

Northeast Ohio Eye Surgeons, Inc.
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Phone: 330-678-0201    Fax: 330-678-4272
Clarkson Optometry Midwest Inc
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Practice Location: 409 N Court St, Medina, OH 44256
Phone: 330-725-4680    Fax: 330-633-7165
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Dr. Angelica Polizzi-libertowski, OD
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Cassie Marie Bremke, O.D.
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Phone: 330-722-8300    Fax: 330-725-0445
Clear Vision Solutions, Inc.
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Practice Location: 837 N Court St, Medina, OH 44256
Phone: 330-725-4464    Fax: 330-725-5054
Ohio Eye Care Consultants, Llc
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Practice Location: 4463 Weymouth Rd, Medina, OH 44256
Phone: 330-722-8300    Fax: 330-725-0445

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.