Jayci Jo Mccrory, OD is a medicare enrolled "Optometrist" provider in International Falls, Minnesota. Her current practice location is
1400 Highway 71 Ste E, International Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 598-5665.
Jayci Jo Mccrory is licensed to practice in Minnesota (license number 3913) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063190247.
Healthcare Provider's Profile
Full Name | Jayci Jo Mccrory |
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Gender | Female |
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Speciality | Optometrist |
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Location | 1400 Highway 71 Ste E, International Falls, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063190247
- Provider Enumeration Date: 07/07/2023
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769831510
- Enrollment ID: I20231206000323
Medical Identifiers
Medical identifiers for Jayci Jo Mccrory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063190247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3825 (Tennessee) | Secondary |
152W00000X | Optometrist | 3913 (Minnesota) | 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. Jayci Jo Mccrory allows following entities to bill medicare on her behalf.
Provider Name | Southern College Of Optometry |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1851384986 PECOS PAC ID: 4587550454 Enrollment ID: O20040226000558 |
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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. Jayci Jo Mccrory 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 |
Jayci Jo Mccrory, OD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Jayci Jo Mccrory, OD 1400 Highway 71 Ste E, International Falls, MN 56649-2154 Ph: (218) 598-5665 |
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