John E Titak, OD is a medicare enrolled "Optometrist" provider in Avondale Estates, Georgia. He went to Indiana University - School Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Perry K Lee Od Pc and his current practice location is
3 Fairfield Dr, Avondale Estates, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 432-3144.
John E Titak is licensed to practice in Georgia (license number 001466) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1962461319.
Healthcare Provider's Profile
| Full Name | John E Titak |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 3 Fairfield Dr, Avondale Estates, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John E Titak attended and graduated from Indiana University - School Of Optometry in 1994
NPI Data:
- NPI Number: 1962461319
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 03/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 3971555681
- Enrollment ID: I20050210000523
Medical Identifiers
Medical identifiers for John E Titak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962461319 | NPI | - | NPPES |
| 000743597N | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 001466 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Perry K Lee Od Pc | 8224149455 | 3 |
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. John E Titak allows following entities to bill medicare on his behalf.
| Provider Name | Clarkson Optometry Georgia Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184802670
PECOS PAC ID: 5193732949
Enrollment ID: O20060320000335 |
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| Provider Name | Perry K Lee Od Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184786683
PECOS PAC ID: 8224149455
Enrollment ID: O20111012000262 |
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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. John E Titak 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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John E Titak, OD
3 Fairfield Dr,
Avondale Estates, GA 30002-1421
Ph: (678) 432-3144 | John E Titak, OD
3 Fairfield Dr,
Avondale Estates, GA 30002-1421
Ph: (678) 432-3144 |
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