Mrs Teresa Marie Ennis-decker, OD is a medicare enrolled "Optometrist" provider in Millington, Michigan. She went to Illinois College Of Optometry At Chicago and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. Her current practice location is
9575 State Rd, Millington, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 871-9552.
Mrs Teresa Marie Ennis-decker is licensed to practice in Michigan (license number 4901003316) 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 1154322956.
Healthcare Provider's Profile
Full Name | Mrs Teresa Marie Ennis-decker |
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Gender | Female |
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Speciality | Optometry |
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Experience | 34 Years |
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Location | 9575 State Rd, Millington, Michigan |
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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:
- Mrs Teresa Marie Ennis-decker attended and graduated from Illinois College Of Optometry At Chicago in 1990
NPI Data:
- NPI Number: 1154322956
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 07/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830179258
- Enrollment ID: I20040724000270
Medical Identifiers
Medical identifiers for Mrs Teresa Marie Ennis-decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154322956 | NPI | - | NPPES |
4743819 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003316 (Michigan) | 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 Teresa Marie Ennis-decker allows following entities to bill medicare on her behalf.
Provider Name | Lakeville Eye Care Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1770526436 PECOS PAC ID: 3375581549 Enrollment ID: O20050419000545 |
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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. Mrs Teresa Marie Ennis-decker 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 Teresa Marie Ennis-decker, OD 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 | Mrs Teresa Marie Ennis-decker, OD 9575 State Rd, Millington, MI 48746-9482 Ph: (989) 871-9552 |
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