Nathan Robert Etten, OD is a medicare enrolled "Optometrist" provider in Palmetto Bay, Florida. His current practice location is
9000 Sw 152nd St, Suite 206, Palmetto Bay, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 242-7755.
Nathan Robert Etten is licensed to practice in Florida (license number OPC-3337) 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 1417154774.
Healthcare Provider's Profile
Full Name | Nathan Robert Etten |
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Gender | Male |
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Speciality | Optometrist |
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Location | 9000 Sw 152nd St, Palmetto Bay, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417154774
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 03/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 3870628639
- Enrollment ID: I20100318000177
Medical Identifiers
Medical identifiers for Nathan Robert Etten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417154774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPC-3337 (Florida) | 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. Nathan Robert Etten allows following entities to bill medicare on his behalf.
Provider Name | Eye Physicians And Surgeons Of Florida Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1275648495 PECOS PAC ID: 7113056292 Enrollment ID: O20100527000752 |
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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. Nathan Robert Etten 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 |
Nathan Robert Etten, OD 9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157-1981 Ph: (786) 242-7755 | Nathan Robert Etten, OD 9000 Sw 152nd St, Suite 206, Palmetto Bay, FL 33157-1981 Ph: (786) 242-7755 |
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