Eyecare Center Of Gooding Pa is a medicare enrolled "Optometrist" provider in Gooding, Idaho. Their current practice location is
317 Main St, Gooding, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 934-4856.
Eyecare Center Of Gooding Pa is licensed to practice in Idaho (license number ODP-100008) and it also participates in the medicare program. Eyecare Center Of Gooding Pa
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 1619000940.
Healthcare Provider's Profile
| Full Name | Eyecare Center Of Gooding Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 317 Main St, Gooding, Idaho |
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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: 1619000940
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 01/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 0941230056
- Enrollment ID: O20050818000401
Medical Identifiers
Medical identifiers for Eyecare Center Of Gooding Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619000940 | NPI | - | NPPES |
| DA2306 | Other | ID | RAILROAD MEDICARE |
| 4776340001 | Other | ID | DMERC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-100008 (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eyecare Center Of Gooding Pa acts as a billing entity for following providers:
| Provider Name | Raymond Clyde Goodman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1407859739
PECOS PAC ID: 3274563382
Enrollment ID: I20100819000732 |
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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. Eyecare Center Of Gooding Pa 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 |
|---|
Eyecare Center Of Gooding Pa
317 Main St,
Gooding, ID 83330-1302
Ph: (208) 934-4856 | Eyecare Center Of Gooding Pa
317 Main St,
Gooding, ID 83330-1302
Ph: (208) 934-4856 |
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