Jennifer M Gudas Od, Pc is a medicare enrolled "Optometrist" provider in Winamac, Indiana. Their current practice location is
633 E 13th St, Winamac, Indiana. You can reach out to their office (for appointments etc.) via phone at
(574) 946-3944.
Jennifer M Gudas Od, Pc is licensed to practice in Indiana (license number 18003318B) and it also participates in the medicare program. Jennifer M Gudas Od, Pc
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 1073882429.
Healthcare Provider's Profile
| Full Name | Jennifer M Gudas Od, Pc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 633 E 13th St, Winamac, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073882429
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 12/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 2365619350
- Enrollment ID: O20120113000554
Medical Identifiers
Medical identifiers for Jennifer M Gudas Od, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073882429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 18003318B (Indiana) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 18003318B (Indiana) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 18003318B (Indiana) | Secondary |
| 332H00000X | Eyewear Supplier | 18003318B (Indiana) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jennifer M Gudas Od, Pc acts as a billing entity for following providers:
| Provider Name | Jennifer Marie Gudas |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1841395209
PECOS PAC ID: 2567423882
Enrollment ID: I20041020000927 |
|---|
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. Jennifer M Gudas Od, Pc 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 |
|---|
Jennifer M Gudas Od, Pc
633 E 13th St, Po Box 365,
Winamac, IN 46996-1157
Ph: (574) 946-3944 | Jennifer M Gudas Od, Pc
633 E 13th St,
Winamac, IN 46996-1157
Ph: (574) 946-3944 |
Reviews and Comments