Lydia Bouman, in Medford, OR - Medicare Optometrist Provider

Lydia Bouman, is a medicare enrolled "Optometrist" provider in Medford, Oregon. Her current practice location is 1600 N Riverside Ave, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (458) 658-5295.

Lydia Bouman is licensed to practice in Oregon (license number AT4721) 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 1003650904.

Contact Information

	Lydia Bouman,
	1600 N Riverside Ave, Medford, OR 97501-4652
	(458) 658-5295
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lydia Bouman
Gender	Female
Speciality	Optometrist
Location	1600 N Riverside Ave, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003650904
Provider Enumeration Date: 06/24/2024
Last Update Date: 06/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6002351913
Enrollment ID: I20240716002368

Medical Identifiers

Medical identifiers for Lydia Bouman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003650904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	AT4721 (Oregon)	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. Lydia Bouman allows following entities to bill medicare on her behalf.

Provider Name	Pacific Eye Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264

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. Lydia Bouman 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
Lydia Bouman, 3420 S Cottage Grove Ave Apt 801, Chicago, IL 60616-5112 Ph: () -	Lydia Bouman, 1600 N Riverside Ave, Medford, OR 97501-4652 Ph: (458) 658-5295

Reviews and Comments

Optometrist in Medford, OR

Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Mcandrews Rd Ste 100, Medford, OR 97504 Phone: 808-264-4810
Optometric Care Of Oregon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 935 Royal Ave, Medford, OR 97504 Phone: 517-779-2211
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Royal Avenue Suite A, Medford, OR 97504 Phone: 541-772-9990 Fax: 541-772-5003
Dr. Douglas Guy Smith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 585 Murphy Rd, Medford, OR 97504 Phone: 541-773-1414 Fax: 541-773-5613
Dr. Taylor Scott Oberly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1430 E Mcandrews Rd, Medford, OR 97504 Phone: 541-772-7273
Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Mcandrews Rd, Suite 100, Medford, OR 97504 Phone: 541-779-1392 Fax: 541-779-6531

Lydia Bouman, - Medicare Optometrist in Medford, OR