Eye Surgery Consultants Llc is a medicare enrolled "Ophthalmology" provider in Poplar Bluff, Missouri. Their current practice location is
2530 Lucy Lee Pkwy, Poplar Bluff, Missouri. You can reach out to their office (for appointments etc.) via phone at
(573) 686-4800.
Eye Surgery Consultants Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eye Surgery 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 1316553373.
Healthcare Provider's Profile
| Full Name | Eye Surgery Consultants Llc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 2530 Lucy Lee Pkwy, Poplar Bluff, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1316553373
- Provider Enumeration Date: 09/16/2020
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072932565
- Enrollment ID: O20201002000444
Medical Identifiers
Medical identifiers for Eye Surgery Consultants Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316553373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Surgery Consultants Llc acts as a billing entity for following providers:
| Provider Name | Daniel Obermark |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1194709220
PECOS PAC ID: 9739268434
Enrollment ID: I20080507000011 |
|---|
| Provider Name | Robert Porter Smith |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1134190416
PECOS PAC ID: 8729113949
Enrollment ID: I20100312000797 |
|---|
| Provider Name | Cassidy D Obermark |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1841546074
PECOS PAC ID: 6305094228
Enrollment ID: I20131113001681 |
|---|
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 Surgery 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 |
|---|
Eye Surgery Consultants Llc
2530 Lucy Lee Pkwy,
Poplar Bluff, MO 63901-2436
Ph: (573) 686-4800 | Eye Surgery Consultants Llc
2530 Lucy Lee Pkwy,
Poplar Bluff, MO 63901-2436
Ph: (573) 686-4800 |
Reviews and Comments