Mark Gotcher, OD is a medicare enrolled "Optometrist" provider in Cottage Grove, Oregon. His current practice location is
315 S Pacific Hwy 99, Cottage Grove, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 942-0176.
Mark Gotcher is licensed to practice in Oregon (license number 2529AT) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588646673.
Healthcare Provider's Profile
| Full Name | Mark Gotcher |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 315 S Pacific Hwy 99, Cottage Grove, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588646673
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 10/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911006473
- Enrollment ID: I20070625000045
Medical Identifiers
Medical identifiers for Mark Gotcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588646673 | NPI | - | NPPES |
| 208414 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2529AT (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. Mark Gotcher allows following entities to bill medicare on his behalf.
| Provider Name | Eugene Eye Care Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457553976
PECOS PAC ID: 5193797348
Enrollment ID: O20040809001321 |
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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. Mark Gotcher 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 |
|---|
Mark Gotcher, OD
Po Box 626,
Cottage Grove, OR 97424-0027
Ph: (541) 942-0176 | Mark Gotcher, OD
315 S Pacific Hwy 99,
Cottage Grove, OR 97424-2137
Ph: (541) 942-0176 |
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