Justin Case Gillette, OD is a medicare enrolled "Optometrist" provider in Mount Orab, Ohio. He went to Ohio State University - College Of Optometry and graduated in 2019 and has 5 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clarkson Optometry Midwest Inc and his current practice location is
112 Glover Dr, Mount Orab, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 444-2525.
Justin Case Gillette is licensed to practice in Ohio (license number OPT007009) 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 1871054825.
Healthcare Provider's Profile
| Full Name | Justin Case Gillette |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 5 Years |
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| Location | 112 Glover Dr, Mount Orab, Ohio |
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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:
- Justin Case Gillette attended and graduated from Ohio State University - College Of Optometry in 2019
NPI Data:
- NPI Number: 1871054825
- Provider Enumeration Date: 03/30/2019
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486067071
- Enrollment ID: I20210924002845
Medical Identifiers
Medical identifiers for Justin Case Gillette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871054825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2156DT (Kentucky) | Secondary |
| 152W00000X | Optometrist | OPT007009 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clarkson Optometry Midwest Inc | 0749504165 | 79 |
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. Justin Case Gillette allows following entities to bill medicare on his behalf.
| Provider Name | Clarkson Optometry Midwest Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073917597
PECOS PAC ID: 0749504165
Enrollment ID: O20150113001118 |
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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. Justin Case Gillette 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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Justin Case Gillette, OD
Po Box 207170,
Dallas, TX 75320-7156
Ph: (636) 200-4393 | Justin Case Gillette, OD
112 Glover Dr,
Mount Orab, OH 45154-8390
Ph: (937) 444-2525 |
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