Dr Matthew Laurence Decker, OD is a medicare enrolled "Optometrist" provider in Kings Bay, Georgia. His current practice location is
881 Uss James Madison Rd Bay, Kings Bay, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 573-4227.
Dr Matthew Laurence Decker is licensed to practice in Michigan (license number 4901004997) 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 1184075608.
Healthcare Provider's Profile
| Full Name | Dr Matthew Laurence Decker |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 881 Uss James Madison Rd Bay, Kings Bay, Georgia |
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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: 1184075608
- Provider Enumeration Date: 06/27/2016
- Last Update Date: 08/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880056480
- Enrollment ID: I20230814003874
Medical Identifiers
Medical identifiers for Dr Matthew Laurence Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184075608 | NPI | - | NPPES |
| 4901004997 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
| T6926 | Other | OH | OHIO VISION PROFESSIONALS BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901004997 (Michigan) | 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. Dr Matthew Laurence Decker allows following entities to bill medicare on his behalf.
| Provider Name | Holicki Eye Centers, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811980386
PECOS PAC ID: 3476533324
Enrollment ID: O20040722000211 |
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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. Dr Matthew Laurence Decker 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 |
|---|
Dr Matthew Laurence Decker, OD
881 Uss James Madison Rd,
Kings Bay, GA 31547-2531
Ph: (912) 573-4227 | Dr Matthew Laurence Decker, OD
881 Uss James Madison Rd Bay,
Kings Bay, GA 31547-2531
Ph: (912) 573-4227 |
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