Mary Leann Boomer, OD in Traverse City, MI - Medicare Optometry Provider

Mary Leann Boomer, OD is a medicare enrolled "Optometrist" provider in Traverse City, Michigan. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grand Traverse Ophthalmology Clinic Pc and her current practice location is 929 Business Park Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 947-6246.

Mary Leann Boomer is licensed to practice in Michigan (license number 4901005448) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285256859.

Contact Information

	Mary Leann Boomer, OD
	929 Business Park Dr, Traverse City, MI 49686-8683
	(231) 947-6246
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Leann Boomer
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	929 Business Park Dr, Traverse City, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Leann Boomer graduated from medical school in 2020

NPI Data:

NPI Number: 1285256859
Provider Enumeration Date: 05/17/2020
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5890118608
Enrollment ID: I20200713002712

Medical Identifiers

Medical identifiers for Mary Leann Boomer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285256859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005448 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Traverse Ophthalmology Clinic Pc	4981503521	14

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. Mary Leann Boomer allows following entities to bill medicare on her behalf.

Provider Name	Grand Traverse Ophthalmology Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265426514 PECOS PAC ID: 4981503521 Enrollment ID: O20040724000399

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. Mary Leann Boomer 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
Mary Leann Boomer, OD 929 Business Park Dr, Traverse City, MI 49686-8683 Ph: (231) 947-6246	Mary Leann Boomer, OD 929 Business Park Dr, Traverse City, MI 49686-8683 Ph: (231) 947-6246

Reviews and Comments

Optometrist in Traverse City, MI

Jennifer Ann Lintz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 929 Business Park Dr, Traverse City, MI 49686 Phone: 231-947-6246 Fax: 231-947-8864
Julie Slough Runstrom, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 S Airport Rd W, #146, Traverse City, MI 49684 Phone: 231-941-7788 Fax: 231-941-0893
Christopher Gilmartin, O.d., Inc Optometrist Medicare: Medicare Enrolled Practice Location: 822 Cass St, Suite B, Traverse City, MI 49684 Phone: 231-946-6095
Dr. Christopher Michael Reed, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 527 W Front St, Traverse City, MI 49684 Phone: 231-947-8667
Carl J Erickson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5199 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-8101 Fax: 231-935-0955
Full Spectrum Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 328 Munson Ave, Traverse City, MI 49686 Phone: 231-946-8460 Fax: 231-946-8507
Marc L Austhof Od Eye Care Services Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2640 Crossing Cir, Traverse City, MI 49684 Phone: 231-933-7195 Fax: 231-933-7197

Mary Leann Boomer, OD - Medicare Optometrist in Traverse City, MI