Malinda Lucky Flores, Od is a medicare enrolled "Optometrist" provider in Ellenboro, West Virginia. Their current practice location is
123 West Wagner, Ellenboro, West Virginia. You can reach out to their office (for appointments etc.) via phone at
(304) 869-3028.
Malinda Lucky Flores, Od is licensed to practice in West Virginia (license number 951-OD) and it also participates in the medicare program. Malinda Lucky Flores, Od
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 1134316086.
Healthcare Provider's Profile
| Full Name | Malinda Lucky Flores, Od |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 123 West Wagner, Ellenboro, West Virginia |
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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: 1134316086
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 05/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 8022190586
- Enrollment ID: O20080123000681
Medical Identifiers
Medical identifiers for Malinda Lucky Flores, Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134316086 | NPI | - | NPPES |
| 410044882 | Other | WV | RAILROAD MEDICARE |
| 001711137 | Other | WV | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 951-OD (West Virginia) | Primary |
| 332H00000X | Eyewear Supplier | WV 951-OD (West Virginia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Malinda Lucky Flores, Od acts as a billing entity for following providers:
| Provider Name | Malinda Lucky Flores |
|---|
| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1154370492
PECOS PAC ID: 3779665237
Enrollment ID: I20080123000659 |
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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. Malinda Lucky Flores, Od 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 |
|---|
Malinda Lucky Flores, Od
37 Alexander Dr,
Williamstown, WV 26187-8302
Ph: (304) 375-4748 | Malinda Lucky Flores, Od
123 West Wagner,
Ellenboro, WV 26346
Ph: (304) 869-3028 |
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