Family Vision Clinic Llc is a medicare enrolled "Clinic/center" provider in Elgin, North Dakota. Their current practice location is
110 Main St N, Elgin, North Dakota. You can reach out to their office (for appointments etc.) via phone at
(701) 584-3727.
Family Vision Clinic Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Family Vision Clinic 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 1013012327.
Healthcare Provider's Profile
| Full Name | Family Vision Clinic Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 110 Main St N, Elgin, North Dakota |
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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: 1013012327
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618936659
- Enrollment ID: O20041006000613
Medical Identifiers
Medical identifiers for Family Vision Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013012327 | NPI | - | NPPES |
| 1455794 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 530 (North Dakota) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Family Vision Clinic Llc acts as a billing entity for following providers:
| Provider Name | Krista R Heil |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1215991799
PECOS PAC ID: 6002871563
Enrollment ID: I20041123001011 |
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| Provider Name | Amy Fleck |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1598712515
PECOS PAC ID: 4385646694
Enrollment ID: I20080626000041 |
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| Provider Name | Wesley Schwartz |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1588949630
PECOS PAC ID: 3274755756
Enrollment ID: I20141118001485 |
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| Provider Name | Tyler Charles Clairmont |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1508585860
PECOS PAC ID: 4183009483
Enrollment ID: I20220922003768 |
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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. Family Vision Clinic 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 |
|---|
Family Vision Clinic Llc
110 Main St N,
Elgin, ND 58533
Ph: (701) 584-3727 | Family Vision Clinic Llc
110 Main St N,
Elgin, ND 58533
Ph: (701) 584-3727 |
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