Jennifer Nim, OD is a medicare enrolled "Optometrist" provider in Mount Pleasant, Utah. Her current practice location is
1125 S Blackhawk Blvd, Mount Pleasant, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 287-0563.
Jennifer Nim is licensed to practice in New York (license number TUV007287) 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 1336302876.
Healthcare Provider's Profile
| Full Name | Jennifer Nim |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1125 S Blackhawk Blvd, Mount Pleasant, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336302876
- Provider Enumeration Date: 07/03/2008
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385799485
- Enrollment ID: I20090825000589
Medical Identifiers
Medical identifiers for Jennifer Nim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336302876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TUV007287 (New York) | 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. Jennifer Nim allows following entities to bill medicare on her behalf.
| Provider Name | Empire Vision Center Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750358826
PECOS PAC ID: 4688573876
Enrollment ID: O20040107000405 |
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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. Jennifer Nim 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 |
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Jennifer Nim, OD
62 W Center St # 280,
Fairview, UT 84629-9997
Ph: () - | Jennifer Nim, OD
1125 S Blackhawk Blvd,
Mount Pleasant, UT 84647
Ph: (435) 287-0563 |
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