Leon Michael Favede, OD is a medicare enrolled "Optometrist" provider in Bridgeport, Ohio. He went to Ohio State University - College Of Optometry and graduated in 1993 and has 31 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Drs. Favede And Associates and his current practice location is
100 3rd St, Bridgeport, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 635-0814.
Leon Michael Favede is licensed to practice in Ohio (license number 4452/T1108) 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 1851485015.
Healthcare Provider's Profile
| Full Name | Leon Michael Favede |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 31 Years |
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| Location | 100 3rd St, Bridgeport, 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:
- Leon Michael Favede attended and graduated from Ohio State University - College Of Optometry in 1993
NPI Data:
- NPI Number: 1851485015
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 9739294125
- Enrollment ID: I20101112000927
Medical Identifiers
Medical identifiers for Leon Michael Favede such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851485015 | NPI | - | NPPES |
| 0979615 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4452/T1108 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Drs. Favede And Associates | 0749307171 | 2 |
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. Leon Michael Favede allows following entities to bill medicare on his behalf.
| Provider Name | Drs. Favede & Associates |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922192061
PECOS PAC ID: 0749307171
Enrollment ID: O20101112000847 |
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| Provider Name | Aeg Ohio Professional Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154980811
PECOS PAC ID: 7618207036
Enrollment ID: O20190927002244 |
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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. Leon Michael Favede 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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Leon Michael Favede, OD
100 3rd St,
Bridgeport, OH 43912-1605
Ph: (740) 635-0814 | Leon Michael Favede, OD
100 3rd St,
Bridgeport, OH 43912-1605
Ph: (740) 635-0814 |
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