Eye Disease Consultants, Llc is a medicare enrolled "Ophthalmology" provider in West Hartford, Connecticut. Their current practice location is
1043 Farmington Ave, West Hartford, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 549-2020.
Eye Disease Consultants, Llc is licensed to practice in Connecticut (license number 041429) and it also participates in the medicare program. Eye Disease Consultants, Llc
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 1487621819.
Healthcare Provider's Profile
| Full Name | Eye Disease Consultants, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1043 Farmington Ave, West Hartford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487621819
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870486079
- Enrollment ID: O20040203000369
Medical Identifiers
Medical identifiers for Eye Disease Consultants, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487621819 | NPI | - | NPPES |
| 9736841 | Medicaid | MA | |
| 004242492 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 002692 (Connecticut) | Secondary |
| 207W00000X | Ophthalmology | 041429 (Connecticut) | Primary |
| 207W00000X | Ophthalmology | 011792 (Connecticut) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 011792 (Connecticut) | Secondary |
| 207WX0108X | Ophthalmology - Uveitis And Ocular Inflammatory Disease | 041429 (Connecticut) | Secondary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Disease Consultants, Llc acts as a billing entity for following providers:
| Provider Name | Alexander R Gaudio |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1467454728
PECOS PAC ID: 0749173946
Enrollment ID: I20040420000921 |
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| Provider Name | Paul A Gaudio |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1942271895
PECOS PAC ID: 9931092137
Enrollment ID: I20040621000644 |
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| Provider Name | Jennifer J Raska |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1881008522
PECOS PAC ID: 0547480691
Enrollment ID: I20141013001560 |
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| Provider Name | Isaiah J Davies |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1437681723
PECOS PAC ID: 6800144601
Enrollment ID: I20210610003445 |
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| Provider Name | Matthew Phillip Nicholas |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1568825222
PECOS PAC ID: 8325462633
Enrollment ID: I20210820001458 |
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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. Eye Disease Consultants, Llc 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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Eye Disease Consultants, Llc
1043 Farmington Ave,
West Hartford, CT 06107-2110
Ph: (860) 549-2020 | Eye Disease Consultants, Llc
1043 Farmington Ave,
West Hartford, CT 06107-2110
Ph: (860) 549-2020 |
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