Mr Mark Humphries Jr, OD - Medicare Optometrist in Land O Lakes, FL

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Mr Mark Humphries Jr, OD is a medicare enrolled "Optometrist" provider in Land O Lakes, Florida. His current practice location is 21611 Village Lakes Shopping Center, Land O Lakes, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 949-1982.

Mr Mark Humphries Jr is licensed to practice in Florida (license number OPC001159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467550731.

Contact Information

Mr Mark Humphries Jr, OD
21611 Village Lakes Shopping Center,
Land O Lakes, FL 34639-5102
(813) 949-1982
(813) 949-0422

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark Humphries Jr
GenderMale
SpecialityOptometrist
Location21611 Village Lakes Shopping Center, Land O Lakes, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467550731
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 08/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8022148055
  • Enrollment ID: I20100617000365

Medical Identifiers

Medical identifiers for Mr Mark Humphries Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467550731NPI-NPPES
38918OtherFLDAVIS
084928600MedicaidFL
19161AOtherFLBCBS FL
101718OtherFLAUMED

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC001159 (Florida)Primary
152W00000XOptometrist 776 (Louisiana)Secondary
152W00000XOptometrist 674 (Mississippi)Secondary

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 Mark Humphries Jr allows following entities to bill medicare on his behalf.
Provider NameEye Works Of Land O Lakes
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790015303
PECOS PAC ID: 2062557937
Enrollment ID: O20100303000240

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 Mark Humphries Jr 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 AddressPractice Location Address
Mr Mark Humphries Jr, OD
21611 Village Lakes Shopping Center,
Land O Lakes, FL 34639-5102

Ph: (813) 949-1982		Mr Mark Humphries Jr, OD
21611 Village Lakes Shopping Center,
Land O Lakes, FL 34639-5102

Ph: (813) 949-1982

Reviews and Comments


Optometrist in Land O Lakes, FL

Dr. Riz Juan Khan, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639
Phone: 813-949-0421    Fax: 813-949-0351
Dr. Jee Me Kanicky, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639
Phone: 813-949-0421    Fax: 813-949-0351
Chelsey Lyn Shepos, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Via Bella Blvd Ste 105, Land O Lakes, FL 34639
Phone: 813-284-2300    Fax: 813-979-1600
Mobile Eye Care Services Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5488 Land O Lakes Blvd, Land O Lakes, FL 34639
Phone: 813-312-1174    
Eye Works Of Land O' Lakes
Optometrist
Medicare: Medicare Enrolled
Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639
Phone: 813-949-1982    Fax: 813-948-0351
Myeyedr.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 21517 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639
Phone: 813-949-0421    Fax: 813-949-0351

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.