Mrs Carla Jane Ericksen, OD in Lincoln, NE - Medicare Optometrist Provider

Mrs Carla Jane Ericksen, OD is a medicare enrolled "Optometrist" provider in Lincoln, Nebraska. Her current practice location is 5550 S 59th St Ste 25, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 261-8699.

Mrs Carla Jane Ericksen is licensed to practice in Nebraska (license number 1226) 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 1851434153.

Contact Information

	Mrs Carla Jane Ericksen, OD
	5550 S 59th St Ste 25, Lincoln, NE 68516-2398
	(402) 261-8699
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carla Jane Ericksen
Gender	Female
Speciality	Optometrist
Location	5550 S 59th St Ste 25, Lincoln, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851434153
Provider Enumeration Date: 02/15/2007
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4688564222
Enrollment ID: I20070523000379

Medical Identifiers

Medical identifiers for Mrs Carla Jane Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851434153	NPI	-	NPPES
252859	Other		MIDLANDS CHOICE
34245	Other		BC BS OF NEBRASKA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1226 (Nebraska)	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. Mrs Carla Jane Ericksen allows following entities to bill medicare on her behalf.

Provider Name	Optical Gallery, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306019062 PECOS PAC ID: 8820168867 Enrollment ID: O20080603000706

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. Mrs Carla Jane Ericksen 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
Mrs Carla Jane Ericksen, OD 5550 S 59th St Ste 25, Lincoln, NE 68516-2398 Ph: (402) 261-8699	Mrs Carla Jane Ericksen, OD 5550 S 59th St Ste 25, Lincoln, NE 68516-2398 Ph: (402) 261-8699

Reviews and Comments

Optometrist in Lincoln, NE

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Dr. Steven Edward Wise, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1501 Pine Lake Rd, Suite #1, Lincoln, NE 68512 Phone: 402-421-7773
Nicole Ann Morrissey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7930 O St, Lincoln, NE 68510 Phone: 402-420-2020 Fax: 402-323-2002
The Spectacle Place Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Capitol Beach Blvd, Ste 11, Lincoln, NE 68528 Phone: 402-475-3937 Fax: 402-475-4715

Mrs Carla Jane Ericksen, OD - Medicare Optometrist in Lincoln, NE