Mary Reed Dacanal, Od Inc. is a medicare enrolled "Optometrist" provider in Johnsonburg, Pennsylvania. Their current practice location is
516 Market St, Johnsonburg, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(814) 965-3231.
Mary Reed Dacanal, Od Inc. is licensed to practice in Pennsylvania (license number OEG000721) and it also participates in the medicare program. Mary Reed Dacanal, Od Inc.
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 1013117019.
Healthcare Provider's Profile
| Full Name | Mary Reed Dacanal, Od Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 516 Market St, Johnsonburg, Pennsylvania |
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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: 1013117019
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 02/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 4880669290
- Enrollment ID: O20040830000612
Medical Identifiers
Medical identifiers for Mary Reed Dacanal, Od Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013117019 | NPI | - | NPPES |
| 069767 | Other | PA | MEDICARE ID-TYPE UNSPECIF |
| 1012058380001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG000721 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mary Reed Dacanal, Od Inc. acts as a billing entity for following providers:
| Provider Name | Mary T Dacanal |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1528054285
PECOS PAC ID: 3971578303
Enrollment ID: I20040830000700 |
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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. Mary Reed Dacanal, Od Inc. 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 Reed Dacanal, Od Inc.
516 Market St,
Johnsonburg, PA 15845-1240
Ph: (814) 965-3231 | Mary Reed Dacanal, Od Inc.
516 Market St,
Johnsonburg, PA 15845-1240
Ph: (814) 965-3231 |
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