Lan O'donnell, OD, MS is a medicare enrolled "Optometrist" provider in Santa Rosa Beach, Florida. Her current practice location is
870 Mack Bayou Rd, Santa Rosa Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 622-4000.
Lan O'donnell is licensed to practice in Florida (license number OPC 3968) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831286111.
Healthcare Provider's Profile
| Full Name | Lan O'donnell |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 870 Mack Bayou Rd, Santa Rosa Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831286111
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3072817162
- Enrollment ID: I20200310000492
Medical Identifiers
Medical identifiers for Lan O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831286111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC 3968 (Florida) | Primary |
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. Lan O'donnell allows following entities to bill medicare on her behalf.
| Provider Name | Lan Q O'donnell Od Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356438634
PECOS PAC ID: 4082042890
Enrollment ID: O20200310000331 |
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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. Lan O'donnell 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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Lan O'donnell, OD, MS
870 Mack Bayou Rd,
Santa Rosa Beach, FL 32459-7150
Ph: (850) 622-4000 | Lan O'donnell, OD, MS
870 Mack Bayou Rd,
Santa Rosa Beach, FL 32459-7150
Ph: (850) 622-4000 |
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