Miss Nicolette M Evans, OD in Celina, OH - Medicare Optometry Provider

Miss Nicolette M Evans, OD is a medicare enrolled "Optometrist" provider in Celina, Ohio. She went to Ohio State University - College Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grand Lake Eyecare Llc and her current practice location is 1025 Grand Lake Rd, Celina, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 235-2059.

Miss Nicolette M Evans is licensed to practice in Ohio (license number OPT006950) 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 1043888035.

Contact Information

	Miss Nicolette M Evans, OD
	1025 Grand Lake Rd, Celina, OH 45822-1309
	(419) 235-2059
	(419) 586-1059

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Nicolette M Evans
Gender	Female
Speciality	Optometry
Experience	3 Years
Location	1025 Grand Lake Rd, Celina, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Nicolette M Evans attended and graduated from Ohio State University - College Of Optometry in 2021

NPI Data:

NPI Number: 1043888035
Provider Enumeration Date: 06/15/2021
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6204230790
Enrollment ID: I20210805001147

Medical Identifiers

Medical identifiers for Miss Nicolette M Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043888035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT006950 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Lake Eyecare Llc	8527016278	4

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 Nicolette M Evans allows following entities to bill medicare on her behalf.

Provider Name	Grand Lake Eyecare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548301690 PECOS PAC ID: 8527016278 Enrollment ID: O20050110000237

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 Nicolette M Evans 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
Miss Nicolette M Evans, OD 1025 Grand Lake Rd, Celina, OH 45822-1309 Ph: (419) 235-2059	Miss Nicolette M Evans, OD 1025 Grand Lake Rd, Celina, OH 45822-1309 Ph: (419) 235-2059

Reviews and Comments

Optometrist in Celina, OH

Dr. Kenneth J Sandker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1025 Grand Lake Rd, Celina, OH 45822 Phone: 419-586-3151 Fax: 419-586-1059
Brian T Gerlach, OD, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1025 Grand Lake Rd, Celina, OH 45822 Phone: 419-586-3151 Fax: 419-586-1059
Megan Krebs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 E Wayne St., Celina, OH 45822 Phone: 419-586-2909 Fax: 419-586-8127
Dr. Makayla Hemmelgarn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2024 Holiday Dr, Celina, OH 45822 Phone: 419-586-3151 Fax: 419-586-1059
Mercer In-sight Llc Optometrist Medicare: Medicare Enrolled Practice Location: 706 E Wayne St, Celina, OH 45822 Phone: 419-586-2909 Fax: 419-586-8127
Dr. Caroline Victoria Verhoff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1022 Holly St, Celina, OH 45822 Phone: 419-852-7642

Miss Nicolette M Evans, OD - Medicare Optometrist in Celina, OH