Jacksonville Eye Care - Medicare Optometrist in Phoenix, MD

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Jacksonville Eye Care is a medicare enrolled "Optometrist" provider in Phoenix, Maryland. Their current practice location is 3332 Paper Mill Rd, Phoenix, Maryland. You can reach out to their office (for appointments etc.) via phone at (410) 628-1510.

Jacksonville Eye Care is licensed to practice in Maryland (license number TA1372) and it also participates in the medicare program. Jacksonville Eye Care 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 1194074476.

Contact Information

Jacksonville Eye Care
3332 Paper Mill Rd,
Phoenix, MD 21131-1419
(410) 628-1510
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacksonville Eye Care
TypeFacility
SpecialityOptometrist
Location3332 Paper Mill Rd, Phoenix, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194074476
  • Provider Enumeration Date: 09/02/2012
  • Last Update Date: 11/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9335384643
  • Enrollment ID: O20130314000104

Medical Identifiers

Medical identifiers for Jacksonville Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194074476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA1372 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacksonville Eye Care acts as a billing entity for following providers:
Provider NameBarry Weiner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023099223
PECOS PAC ID: 3072797794
Enrollment ID: I20110405000176
Provider NameMichael Diffendall
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184667057
PECOS PAC ID: 3072728914
Enrollment ID: I20130314000118
Provider NameJohanna E Letts
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558319707
PECOS PAC ID: 0042448193
Enrollment ID: I20140116001480

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. Jacksonville Eye Care 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 AddressPractice Location Address
Jacksonville Eye Care
3332 Paper Mill Rd,
Phoenix, MD 21131-1419

Ph: (410) 628-1510		Jacksonville Eye Care
3332 Paper Mill Rd,
Phoenix, MD 21131-1419

Ph: (410) 628-1510

Reviews and Comments


Optometrist in Phoenix, MD

Dr. Barry M Weiner, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3421 Sweet Air Rd, Phoenix, MD 21131
Phone: 410-628-1510    Fax: 410-666-5244
Dr. Michael F Diffendall, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131
Phone: 410-628-1510    Fax: 410-628-1511
Jacksonville Eye Care
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131
Phone: 410-628-1510    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.