Jacksonville Vision Clinic Inc is a medicare enrolled "Optometrist" provider in Jacksonville, Oregon. Their current practice location is
950 N 5th St, Jacksonville, Oregon. You can reach out to their office (for appointments etc.) via phone at
(541) 899-2020.
Jacksonville Vision Clinic Inc is licensed to practice in Oregon (license number 3036ATI) and it also participates in the medicare program. Jacksonville Vision Clinic Inc
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 1891920674.
Healthcare Provider's Profile
| Full Name | Jacksonville Vision Clinic Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 950 N 5th St, Jacksonville, Oregon |
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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: 1891920674
- Provider Enumeration Date: 05/21/2009
- Last Update Date: 05/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 9739200650
- Enrollment ID: O20120203000544
Medical Identifiers
Medical identifiers for Jacksonville Vision Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891920674 | NPI | - | NPPES |
| 210539 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3036ATI (Oregon) | 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 Vision Clinic Inc acts as a billing entity for following providers:
| Provider Name | Julie D Danielson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1710979240
PECOS PAC ID: 4587619259
Enrollment ID: I20050315000844 |
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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. Jacksonville Vision Clinic Inc 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 |
|---|
Jacksonville Vision Clinic Inc
950 N 5th St,
Jacksonville, OR 97530-9016
Ph: (541) 899-2020 | Jacksonville Vision Clinic Inc
950 N 5th St,
Jacksonville, OR 97530-9016
Ph: (541) 899-2020 |
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