Miss Jessica Rae Cochran, OD is a medicare enrolled "Optometrist" provider in Eleanor, West Virginia. Her current practice location is
103 Roosevelt Blvd, Eleanor, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 586-0970.
Miss Jessica Rae Cochran is licensed to practice in West Virginia (license number 1059-OD) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487884110.
Healthcare Provider's Profile
| Full Name | Miss Jessica Rae Cochran |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 103 Roosevelt Blvd, Eleanor, West Virginia |
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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: 1487884110
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 07/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789722489
- Enrollment ID: I20091118000305
Medical Identifiers
Medical identifiers for Miss Jessica Rae Cochran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487884110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1059-OD (West Virginia) | 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. Miss Jessica Rae Cochran allows following entities to bill medicare on her behalf.
| Provider Name | Proeyes Optometry, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437876646
PECOS PAC ID: 4880068808
Enrollment ID: O20230314002840 |
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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. Miss Jessica Rae Cochran 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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Miss Jessica Rae Cochran, OD
Po Box 852,
Eleanor, WV 25070-0852
Ph: (304) 586-0970 | Miss Jessica Rae Cochran, OD
103 Roosevelt Blvd,
Eleanor, WV 25070-4000
Ph: (304) 586-0970 |
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