Eyecare Of Boonville, Llc is a medicare enrolled "Optometrist" provider in Boonville, Missouri. Their current practice location is
505 E Walnut St, Boonville, Missouri. You can reach out to their office (for appointments etc.) via phone at
(660) 882-2444.
Eyecare Of Boonville, Llc is licensed to practice in Missouri (license number 2004017361) and it also participates in the medicare program. Eyecare Of Boonville, 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 1669664280.
Healthcare Provider's Profile
| Full Name | Eyecare Of Boonville, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 505 E Walnut St, Boonville, Missouri |
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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: 1669664280
- Provider Enumeration Date: 08/16/2007
- Last Update Date: 09/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 2163510231
- Enrollment ID: O20071127000222
Medical Identifiers
Medical identifiers for Eyecare Of Boonville, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669664280 | NPI | - | NPPES |
| 219840 | Other | MO | ANTHEM PROVIDER ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2004017361 (Missouri) | 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 Of Boonville, Llc acts as a billing entity for following providers:
| Provider Name | Jeffery Birdsong |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1790777191
PECOS PAC ID: 2567424013
Enrollment ID: I20041028000038 |
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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 Of Boonville, 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 |
|---|
Eyecare Of Boonville, Llc
505 E Walnut St,
Boonville, MO 65233-1665
Ph: (660) 882-2444 | Eyecare Of Boonville, Llc
505 E Walnut St,
Boonville, MO 65233-1665
Ph: (660) 882-2444 |
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