Mic Optical Sourcing,inc. is a medicare enrolled "Technician/technologist - Optician" provider in Denver, Colorado. Their current practice location is
2200 W Alameda Ave Unit 16, Denver, Colorado. You can reach out to their office (for appointments etc.) via phone at
(720) 238-2922.
Mic Optical Sourcing,inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mic Optical Sourcing,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 1851930879.
Healthcare Provider's Profile
| Full Name | Mic Optical Sourcing,inc. |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 2200 W Alameda Ave Unit 16, Denver, Colorado |
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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: 1851930879
- Provider Enumeration Date: 12/23/2019
- Last Update Date: 02/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628407616
- Enrollment ID: O20200325003794
Medical Identifiers
Medical identifiers for Mic Optical Sourcing,inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851930879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mic Optical Sourcing,inc. acts as a billing entity for following providers:
| Provider Name | Douglas J Pethe |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1265572762
PECOS PAC ID: 1557389871
Enrollment ID: I20051104000682 |
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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. Mic Optical Sourcing,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 |
|---|
Mic Optical Sourcing,inc.
2200 W Alameda Ave Unit 16,
Denver, CO 80223-1947
Ph: (720) 238-2922 | Mic Optical Sourcing,inc.
2200 W Alameda Ave Unit 16,
Denver, CO 80223-1947
Ph: (720) 238-2922 |
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