Fredericksburg Family Eyecare, P.c. is a medicare enrolled "Optometrist" provider in Fredericksburg, Pennsylvania. Their current practice location is
121 S Tan Aly, Fredericksburg, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(717) 865-7225.
Fredericksburg Family Eyecare, P.c. is licensed to practice in Pennsylvania (license number OEG000859) and it also participates in the medicare program. Fredericksburg Family Eyecare, P.c.
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 1558322073.
Healthcare Provider's Profile
| Full Name | Fredericksburg Family Eyecare, P.c. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 121 S Tan Aly, Fredericksburg, Pennsylvania |
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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: 1558322073
- Provider Enumeration Date: 04/01/2006
- Last Update Date: 07/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 0345288874
- Enrollment ID: O20050425000378
Medical Identifiers
Medical identifiers for Fredericksburg Family Eyecare, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558322073 | NPI | - | NPPES |
| 066141000 | Other | PA | NSC# |
| 40540 | Other | PA | DAVIS VISION |
| FR1392866 | Other | PA | BLUE SHIELD (PENNVISION) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG000859 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fredericksburg Family Eyecare, P.c. acts as a billing entity for following providers:
| Provider Name | Monika H Groff |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1215959390
PECOS PAC ID: 3971716176
Enrollment ID: I20110222000542 |
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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. Fredericksburg Family Eyecare, P.c. 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 |
|---|
Fredericksburg Family Eyecare, P.c.
Po Box 369, 121 Southtan Alley,
Fredericksburg, PA 17026-0369
Ph: (717) 865-7225 | Fredericksburg Family Eyecare, P.c.
121 S Tan Aly,
Fredericksburg, PA 17026-9349
Ph: (717) 865-7225 |
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