Mr John Mark Cavanagh, OD is a medicare enrolled "Optometrist" provider in New Brighton, Minnesota. He went to University Of Houston - College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. His current practice location is
2655 Innsbruck Dr, Suite B, New Brighton, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 636-2020.
Mr John Mark Cavanagh is licensed to practice in Minnesota (license number 2236) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205921368.
Healthcare Provider's Profile
| Full Name | Mr John Mark Cavanagh |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 35 Years |
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| Location | 2655 Innsbruck Dr, New Brighton, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr John Mark Cavanagh attended and graduated from University Of Houston - College Of Optometry in 1989
NPI Data:
- NPI Number: 1205921368
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 03/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 4981817954
- Enrollment ID: I20101105000118
Medical Identifiers
Medical identifiers for Mr John Mark Cavanagh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205921368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2236 (Minnesota) | 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. Mr John Mark Cavanagh allows following entities to bill medicare on his behalf.
| Provider Name | Academy Contact Lens Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639202559
PECOS PAC ID: 1850418476
Enrollment ID: O20101105000094 |
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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. Mr John Mark Cavanagh 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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Mr John Mark Cavanagh, OD
2655 Innsbruck Dr, Suite B,
New Brighton, MN 55112-9303
Ph: (651) 636-2020 | Mr John Mark Cavanagh, OD
2655 Innsbruck Dr, Suite B,
New Brighton, MN 55112-9303
Ph: (651) 636-2020 |
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