La Pine Eyecare Clinic is a medicare enrolled "Optometrist" provider in La Pine, Oregon. Their current practice location is
16410 Third Street, Suite A, La Pine, Oregon. You can reach out to their office (for appointments etc.) via phone at
(541) 536-2911.
La Pine Eyecare Clinic is licensed to practice in Oregon (license number 3178ATI) and it also participates in the medicare program. La Pine Eyecare Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1881828135.
Healthcare Provider's Profile
| Full Name | La Pine Eyecare Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 16410 Third Street, La Pine, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881828135
- Provider Enumeration Date: 05/14/2009
- Last Update Date: 05/14/2009
Medicare PECOS Information:
- PECOS PAC ID: 6800947987
- Enrollment ID: O20090701000141
Medical Identifiers
Medical identifiers for La Pine Eyecare Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881828135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3178ATI (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
La Pine Eyecare Clinic acts as a billing entity for following providers:
| Provider Name | Graham A Balcer |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1851310528
PECOS PAC ID: 4284639907
Enrollment ID: I20061002000089 |
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| Provider Name | Etosha C Fegan |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1275996894
PECOS PAC ID: 4981962131
Enrollment ID: I20171218002011 |
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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. La Pine Eyecare Clinic 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 |
|---|
La Pine Eyecare Clinic
Po Box 3120,
La Pine, OR 97739-3120
Ph: (541) 536-2911 | La Pine Eyecare Clinic
16410 Third Street, Suite A,
La Pine, OR 97739-0000
Ph: (541) 536-2911 |
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