Longmeadow Eyecare Incorporated is a medicare enrolled "Eyewear Supplier" provider in Hagerstown, Maryland. Their current practice location is
1545 Potomac Ave, Hagerstown, Maryland. You can reach out to their office (for appointments etc.) via phone at
(301) 797-3030.
Longmeadow Eyecare Incorporated is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Longmeadow Eyecare Incorporated
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 1417944299.
Healthcare Provider's Profile
Full Name | Longmeadow Eyecare Incorporated |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 1545 Potomac Ave, Hagerstown, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417944299
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 07/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 6901895499
- Enrollment ID: O20040510001084
Medical Identifiers
Medical identifiers for Longmeadow Eyecare Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417944299 | NPI | - | NPPES |
0736980001 | Other | | MEDICARE DMERC |
53066701 X754LO | Other | MD | BLUE CROSS OF MARYLAND |
111658400 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (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.
Longmeadow Eyecare Incorporated acts as a billing entity for following providers:
Provider Name | Dawn Amber Agostini |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1073505772 PECOS PAC ID: 2860481348 Enrollment ID: I20040510001054 |
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Provider Name | Edward E Sauble |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1174511885 PECOS PAC ID: 5890829287 Enrollment ID: I20100820000735 |
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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. Longmeadow Eyecare Incorporated 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 |
Longmeadow Eyecare Incorporated 1545 Potomac Ave, Hagerstown, MD 21742-2930 Ph: (301) 797-3030 | Longmeadow Eyecare Incorporated 1545 Potomac Ave, Hagerstown, MD 21742-2930 Ph: (301) 797-3030 |
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