Madison Eye Center Llc is a medicare enrolled "Ophthalmology" provider in Madison, Indiana. Their current practice location is
601 Broadway St, Madison, Indiana. You can reach out to their office (for appointments etc.) via phone at
(502) 883-1015.
Madison Eye Center Llc is licensed to practice in Indiana (license number 02003914A) and it also participates in the medicare program. Madison Eye Center Llc
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 1235637075.
Healthcare Provider's Profile
| Full Name | Madison Eye Center Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 601 Broadway St, Madison, Indiana |
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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: 1235637075
- Provider Enumeration Date: 01/26/2018
- Last Update Date: 01/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648530899
- Enrollment ID: O20180207002183
Medical Identifiers
Medical identifiers for Madison Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235637075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 02003914A (Indiana) | Primary |
| 207WX0107X | Ophthalmology - Retina Specialist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Madison Eye Center Llc acts as a billing entity for following providers:
| Provider Name | Gregory M Sulkowski |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1811102080
PECOS PAC ID: 8022163583
Enrollment ID: I20100928000529 |
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| Provider Name | Thomas W Harper |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1346440583
PECOS PAC ID: 2163510587
Enrollment ID: I20140701000686 |
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| Provider Name | Jeremy Clark |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1073838850
PECOS PAC ID: 3072738780
Enrollment ID: I20160829001889 |
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| Provider Name | Victor Aurel Neamtu |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1508009754
PECOS PAC ID: 0143462366
Enrollment ID: I20170213002356 |
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| Provider Name | Mohammad Ali Haider |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1871622258
PECOS PAC ID: 4587708920
Enrollment ID: I20180116002499 |
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| Provider Name | Julie Hogan |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1356343990
PECOS PAC ID: 2769374685
Enrollment ID: I20180810002315 |
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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. Madison Eye Center Llc 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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Madison Eye Center Llc
2932 Breckenridge Ln Ste 5,
Louisville, KY 40220-1490
Ph: (502) 371-9700 | Madison Eye Center Llc
601 Broadway St,
Madison, IN 47250-3362
Ph: (502) 883-1015 |
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