Little Wood Vision Clinic is a medicare enrolled "Optometrist" provider in Shoshone, Idaho. Their current practice location is
520 N Greenwood St., Shoshone, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 537-2020.
Little Wood Vision Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Little Wood Vision 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 1851740716.
Healthcare Provider's Profile
| Full Name | Little Wood Vision Clinic |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 520 N Greenwood St., Shoshone, Idaho |
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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: 1851740716
- Provider Enumeration Date: 06/10/2016
- Last Update Date: 09/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 3678860285
- Enrollment ID: O20160926001817
Medical Identifiers
Medical identifiers for Little Wood Vision Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851740716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (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.
Little Wood Vision Clinic acts as a billing entity for following providers:
| Provider Name | Matthew E Kent |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1487648952
PECOS PAC ID: 5597795609
Enrollment ID: I20050818000384 |
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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. Little Wood Vision 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 |
|---|
Little Wood Vision Clinic
520 N Greenwood St.,
Shoshone, ID 83352
Ph: (208) 537-2020 | Little Wood Vision Clinic
520 N Greenwood St.,
Shoshone, ID 83352
Ph: (208) 537-2020 |
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