Nicholas E Bantz, OD is a medicare enrolled "Optometrist" provider in Mccordsville, Indiana. His current practice location is
13840 E 96th St, Mccordsville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 720-2020.
Nicholas E Bantz is licensed to practice in Indiana (license number 18004499A) 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 1063254829.
Healthcare Provider's Profile
| Full Name | Nicholas E Bantz |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 13840 E 96th St, Mccordsville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063254829
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799229092
- Enrollment ID: I20240627002093
Medical Identifiers
Medical identifiers for Nicholas E Bantz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063254829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 18004499A (Indiana) | 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. Nicholas E Bantz allows following entities to bill medicare on his behalf.
| Provider Name | Visionquest Eyecare Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013015429
PECOS PAC ID: 7517951353
Enrollment ID: O20040413001602 |
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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. Nicholas E Bantz 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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Nicholas E Bantz, OD
2887 S State Road 135,
Greenwood, IN 46143-9604
Ph: (317) 865-6829 | Nicholas E Bantz, OD
13840 E 96th St,
Mccordsville, IN 46055-9394
Ph: (317) 720-2020 |
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