Jerry D Redwine, OD is a medicare enrolled "Optometrist" provider in Muleshoe, Texas. His current practice location is
111 E 3rd St, Muleshoe, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 272-4705.
Jerry D Redwine is licensed to practice in Texas (license number 2296T) 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 1447385596.
Healthcare Provider's Profile
Full Name | Jerry D Redwine |
---|
Gender | Male |
---|
Speciality | Optometrist |
---|
Location | 111 E 3rd St, Muleshoe, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447385596
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 01/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 6608984257
- Enrollment ID: I20120524000678
Medical Identifiers
Medical identifiers for Jerry D Redwine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447385596 | NPI | - | NPPES |
0931693-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2296T (Texas) | Primary |
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. Jerry D Redwine 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 |
Jerry D Redwine, OD Po Box 1011, Muleshoe, TX 79347-1011 Ph: (806) 272-4705 | Jerry D Redwine, OD 111 E 3rd St, Muleshoe, TX 79347-3801 Ph: (806) 272-4705 |
Reviews and Comments