Gary E Tackman, OD in Escanaba, MI - Medicare Optometrist Provider

Gary E Tackman, OD is a medicare enrolled "Optometrist" provider in Escanaba, Michigan. His current practice location is 2530 1st Ave N, Escanaba, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 786-2295.

Gary E Tackman is licensed to practice in Michigan (license number 4901003777) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255383584.

Contact Information

	Gary E Tackman, OD
	2530 1st Ave N, Escanaba, MI 49829-1390
	(906) 786-2295
	(906) 786-2816

Map and Direction

Healthcare Provider's Profile

Full Name	Gary E Tackman
Gender	Male
Speciality	Optometrist
Location	2530 1st Ave N, Escanaba, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255383584
Provider Enumeration Date: 05/16/2006
Last Update Date: 01/07/2008

Medicare PECOS Information:

PECOS PAC ID: 0941267157
Enrollment ID: I20041220000125

Medical Identifiers

Medical identifiers for Gary E Tackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255383584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901003777 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gary E Tackman allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578129094 PECOS PAC ID: 1456684471 Enrollment ID: O20190708001548

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. Gary E Tackman 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
Gary E Tackman, OD 2530 1st Ave N, Escanaba, MI 49829-1390 Ph: (906) 786-2295	Gary E Tackman, OD 2530 1st Ave N, Escanaba, MI 49829-1390 Ph: (906) 786-2295

Reviews and Comments

Optometrist in Escanaba, MI

Dr. Mark Lawrence Barinotti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 814 Ludington St, Escanaba, MI 49829 Phone: 906-786-6573
Anthony Bernard Hall, PHD OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 814 Ludington St, Family Eye Care, Escanaba, MI 49829 Phone: 906-786-6573 Fax: 906-786-1174
Lakeshore Eye Clinic Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 7th Ave S, 217 Ste, Escanaba, MI 49829 Phone: 906-789-1400 Fax: 906-789-3457
Paul R Gayeff Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 7th Ave S, Suite 217, Escanaba, MI 49829 Phone: 906-789-1400
Andrea Mott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1015 S Lincoln Rd, Escanaba, MI 49829 Phone: 906-786-5181
Leanne Gartland, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 N Lincoln Rd, Escanaba, MI 49829 Phone: 906-789-0668

Gary E Tackman, OD - Medicare Optometrist in Escanaba, MI