Jonathon Paul Thoele, OD is a medicare enrolled "Optometrist" provider in Mount Sterling, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. He is a member of the group practice International Eyecare Center Llc and his current practice location is
105 W Main St, Mount Sterling, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 773-3055.
Jonathon Paul Thoele is licensed to practice in Illinois (license number 046010606) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114282548.
Healthcare Provider's Profile
| Full Name | Jonathon Paul Thoele |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 12 Years |
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| Location | 105 W Main St, Mount Sterling, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathon Paul Thoele attended and graduated from Illinois College Of Optometry At Chicago in 2012
NPI Data:
- NPI Number: 1114282548
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 02/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 3870741838
- Enrollment ID: I20120917000335
Medical Identifiers
Medical identifiers for Jonathon Paul Thoele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114282548 | NPI | - | NPPES |
| 1114282548 | Medicaid | IA | |
| 1114282548 | Medicaid | MO | |
| 1114282548 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2012025597 (Missouri) | Secondary |
| 152W00000X | Optometrist | 002553 (Iowa) | Secondary |
| 152W00000X | Optometrist | 046010606 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| International Eyecare Center Llc | 0244125235 | 23 |
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. Jonathon Paul Thoele allows following entities to bill medicare on his behalf.
| Provider Name | International Eyecare Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760405047
PECOS PAC ID: 0244125235
Enrollment ID: O20040218000758 |
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| Provider Name | Christina J. Levi O D P C. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477703411
PECOS PAC ID: 9436210762
Enrollment ID: O20081205000160 |
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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. Jonathon Paul Thoele 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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Jonathon Paul Thoele, OD
2445 Broadway St,
Quincy, IL 62301-3257
Ph: (217) 222-9207 | Jonathon Paul Thoele, OD
105 W Main St,
Mount Sterling, IL 62353-1223
Ph: (217) 773-3055 |
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