Mad River Eye Care Pllc is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Waitsfield, Vermont. Their current practice location is
5274 Main St Ste 1, Waitsfield, Vermont. You can reach out to their office (for appointments etc.) via phone at
(802) 730-5167.
Mad River Eye Care Pllc is licensed to practice in Vermont (license number 030.0068209) and it also participates in the medicare program. Mad River Eye Care Pllc
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 1538666235.
Healthcare Provider's Profile
Full Name | Mad River Eye Care Pllc |
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Type | Facility |
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Speciality | Optometrist - Corneal And Contact Management |
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Location | 5274 Main St Ste 1, Waitsfield, Vermont |
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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: 1538666235
- Provider Enumeration Date: 04/09/2018
- Last Update Date: 04/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 9830444009
- Enrollment ID: O20180613000246
Medical Identifiers
Medical identifiers for Mad River Eye Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538666235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152WC0802X | Optometrist - Corneal And Contact Management | 030.0068209 (Vermont) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mad River Eye Care Pllc acts as a billing entity for following providers:
Provider Name | Shannon Mitchell |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1144551797 PECOS PAC ID: 9032301825 Enrollment ID: I20101012000857 |
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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. Mad River Eye Care Pllc 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 |
Mad River Eye Care Pllc 731 Worcester Loop Rd, Stowe, VT 05672-4326 Ph: (802) 730-5167 | Mad River Eye Care Pllc 5274 Main St Ste 1, Waitsfield, VT 05673-4445 Ph: (802) 730-5167 |
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