Mary Terese Dacanal, OD is a medicare enrolled "Optometrist" provider in Johnsonburg, Pennsylvania. She went to Pennsylvania College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. Her current practice location is
516 Market St, Johnsonburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 965-3231.
Mary Terese Dacanal is licensed to practice in Pennsylvania (license number OEG000721) 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 1528054285.
Healthcare Provider's Profile
| Full Name | Mary Terese Dacanal |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 34 Years |
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| Location | 516 Market St, Johnsonburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Terese Dacanal attended and graduated from Pennsylvania College Of Optometry in 1990
NPI Data:
- NPI Number: 1528054285
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 10/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 3971578303
- Enrollment ID: I20040830000700
Medical Identifiers
Medical identifiers for Mary Terese Dacanal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528054285 | NPI | - | NPPES |
| 1012058380001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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. 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 Terese Dacanal allows following entities to bill medicare on her behalf.
| Provider Name | Mary Reed Dacanal, Od Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013117019
PECOS PAC ID: 4880669290
Enrollment ID: O20040830000612 |
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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 Terese Dacanal 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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Mary Terese Dacanal, OD
516 Market St,
Johnsonburg, PA 15845-1240
Ph: (816) 965-3231 | Mary Terese Dacanal, OD
516 Market St,
Johnsonburg, PA 15845-1240
Ph: (814) 965-3231 |
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