Lakeside Vision, Prudenville, Pc - Medicare Optometrist in Prudenville, MI

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Lakeside Vision, Prudenville, Pc is a medicare enrolled "Optometrist" provider in Prudenville, Michigan. Their current practice location is 888 W Houghton Lake Dr, Prudenville, Michigan. You can reach out to their office (for appointments etc.) via phone at (989) 366-7525.

Lakeside Vision, Prudenville, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lakeside Vision, Prudenville, Pc 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 1003557133.

Contact Information

Lakeside Vision, Prudenville, Pc
888 W Houghton Lake Dr,
Prudenville, MI 48651-9451
(989) 366-7525
(989) 366-5405

Map and Direction




Healthcare Provider's Profile

Full NameLakeside Vision, Prudenville, Pc
TypeFacility
SpecialityOptometrist
Location888 W Houghton Lake Dr, Prudenville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003557133
  • Provider Enumeration Date: 04/05/2022
  • Last Update Date: 04/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729475769
  • Enrollment ID: O20220421002588

Medical Identifiers

Medical identifiers for Lakeside Vision, Prudenville, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003557133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeside Vision, Prudenville, Pc acts as a billing entity for following providers:
Provider NameLouis E Boggs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134123987
PECOS PAC ID: 6709950157
Enrollment ID: I20080801000395
Provider NameKyle Scott Bates
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932767191
PECOS PAC ID: 0648504241
Enrollment ID: I20190702002146
Provider NameRyan Joseph Chrencik
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487427316
PECOS PAC ID: 5294182945
Enrollment ID: I20231117000196

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. Lakeside Vision, Prudenville, Pc 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 AddressPractice Location Address
Lakeside Vision, Prudenville, Pc
Po Box 20,
Prudenville, MI 48651-0020

Ph: (989) 366-7525		Lakeside Vision, Prudenville, Pc
888 W Houghton Lake Dr,
Prudenville, MI 48651-9451

Ph: (989) 366-7525

Reviews and Comments


Optometrist in Prudenville, MI

Louis E Boggs, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651
Phone: 989-366-7525    Fax: 989-366-5405
Lakeside Vision Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651
Phone: 989-366-7525    Fax: 989-366-5405
Dr. Kyle Scott Bates, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 888 W Houghton Lake Dr, Prudenville, MI 48651
Phone: 989-366-7525    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.