Jeffrey R Fardink, OD in Richmond, VA - Medicare Optometrist Provider

Jeffrey R Fardink, OD is a medicare enrolled "Optometrist" provider in Richmond, Virginia. His current practice location is 5617 W Broad St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 282-7228.

Jeffrey R Fardink is licensed to practice in Virginia (license number 0618002568) 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 1780117572.

Contact Information

	Jeffrey R Fardink, OD
	5617 W Broad St, Richmond, VA 23230-2614
	(804) 282-7228
	(804) 285-3781

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey R Fardink
Gender	Male
Speciality	Optometrist
Location	5617 W Broad St, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780117572
Provider Enumeration Date: 04/07/2017
Last Update Date: 05/31/2017

Medicare PECOS Information:

PECOS PAC ID: 1951670611
Enrollment ID: I20170712001141

Medical Identifiers

Medical identifiers for Jeffrey R Fardink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780117572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618002568 (Virginia)	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. Jeffrey R Fardink allows following entities to bill medicare on his behalf.

Provider Name	Grove Ave Eye Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801976097 PECOS PAC ID: 1759411663 Enrollment ID: O20100618000534

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. Jeffrey R Fardink 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
Jeffrey R Fardink, OD 5617 W Broad St, Richmond, VA 23230-2614 Ph: (804) 282-7228	Jeffrey R Fardink, OD 5617 W Broad St, Richmond, VA 23230-2614 Ph: (804) 282-7228

Reviews and Comments

Optometrist in Richmond, VA

Raihana Sherdil, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 Westhampton Sta, Richmond, VA 23226 Phone: 804-287-4200
Sarah C. Duval, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E. Byrd Street, Suite 160a, Richmond, VA 23219 Phone: 804-780-0359
Dr. Gregg Alan Baldwin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11500 Midlothian Turnpike, Suite #716b, Richmond, VA 23235 Phone: 804-897-5542
Dr. Joseph Jerome Allen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3601 Grove Ave, Richmond, VA 23221 Phone: 804-353-3937
Dr. Marissa Elaine Albert, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7000 Forest Ave, Richmond, VA 23230 Phone: 804-253-9778
Dr. Laurel E/ Loukx, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5419 Patterson Ave, Richmond, VA 23226 Phone: 804-285-7638 Fax: 804-285-2107
Dr. Richard N Douglas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10431 Patterson Ave, Richmond, VA 23238 Phone: 804-217-6363 Fax: 804-217-6400

Jeffrey R Fardink, OD - Medicare Optometrist in Richmond, VA