Michael D Tinkelman, OD | |
104 W Main St, Boalsburg, PA 16827-1347 | |
(814) 466-2020 | |
(814) 808-6165 |
Full Name | Michael D Tinkelman |
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Gender | Male |
Speciality | Optometrist |
Location | 104 W Main St, Boalsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124004809 | NPI | - | NPPES |
0546259 | Medicaid | PA | |
01496301 | Other | PA | BLUE CROSS IND |
02499800 | Other | PA | BLUE CROSS GRP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG 000753 (Pennsylvania) | Primary |
Provider Name | Dr. Hanlen And Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922332485 PECOS PAC ID: 4486796067 Enrollment ID: O20100120000260 |
Mailing Address | Practice Location Address |
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Michael D Tinkelman, OD 104 W Main St, Boalsburg, PA 16827-1347 Ph: (814) 466-2020 | Michael D Tinkelman, OD 104 W Main St, Boalsburg, PA 16827-1347 Ph: (814) 466-2020 |
Harvey P Hanlen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 104 W. Main St., Boalsburg, PA 16827 Phone: 814-466-2020 Fax: 814-808-6165 | |
Scott Bauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 104 W Main St, Boalsburg, PA 16827 Phone: 814-466-2020 | |
Dr. Hanlen And Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 104 W Main St, Boalsburg, PA 16827 Phone: 814-466-2020 |