Great Lakes Eye Institute is a medicare enrolled "Ophthalmology" provider in Saginaw, Michigan. Their current practice location is
2393 Schust Rd, Saginaw, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 793-2820.
Great Lakes Eye Institute is licensed to practice in Michigan (license number 4301040619) and it also participates in the medicare program. Great Lakes Eye Institute
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 1063680791.
Healthcare Provider's Profile
| Full Name | Great Lakes Eye Institute |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 2393 Schust Rd, Saginaw, Michigan |
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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: 1063680791
- Provider Enumeration Date: 02/15/2008
- Last Update Date: 01/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799699534
- Enrollment ID: O20040525000965
Medical Identifiers
Medical identifiers for Great Lakes Eye Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063680791 | NPI | - | NPPES |
| 180G300890 | Other | MI | BLUE CROSS BLUE SHIELD |
| CA3610 | Other | | RAILROAD MEDICARE |
| 0N11610 | Other | | MEDICARE |
| 180G300890 | Other | MI | BLUE CARE NETWORK |
| 0G36036 | Other | | MEDICARE |
| 180G310710 | Other | MI | BLUE CROSS BLUE SHIELD |
| 180G310710 | Other | MI | BLUE CARE NETWORK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 4301040619 (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.
Great Lakes Eye Institute acts as a billing entity for following providers:
| Provider Name | Patrick J Bell |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1013900612
PECOS PAC ID: 1254303506
Enrollment ID: I20060214000096 |
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| Provider Name | Donald Bart Darnell |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1306839535
PECOS PAC ID: 0042228843
Enrollment ID: I20060404000775 |
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| Provider Name | Kristine M Weaver |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1699939751
PECOS PAC ID: 7517031511
Enrollment ID: I20080809000032 |
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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. Great Lakes Eye Institute 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 |
|---|
Great Lakes Eye Institute
2393 Schust Rd,
Saginaw, MI 48603-1334
Ph: (989) 793-2820 | Great Lakes Eye Institute
2393 Schust Rd,
Saginaw, MI 48603-1334
Ph: (989) 793-2820 |
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