Nicole L Mardak, OD in Marietta, GA - Medicare Optometry Provider

Nicole L Mardak, OD is a medicare enrolled "Optometrist" provider in Marietta, Georgia. She went to Illinois College Of Optometry At Chicago and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Wildwood Eye Care Llc and her current practice location is 1545 Powers Ferry Rd Se, Suite 240, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 952-6412.

Nicole L Mardak is licensed to practice in Georgia (license number OPT002772) 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 1033551767.

Contact Information

	Nicole L Mardak, OD
	1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067-9412
	(770) 952-6412
	(770) 953-2738

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole L Mardak
Gender	Female
Speciality	Optometry
Experience	11 Years
Location	1545 Powers Ferry Rd Se, Marietta, Georgia
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:

Nicole L Mardak attended and graduated from Illinois College Of Optometry At Chicago in 2013

NPI Data:

NPI Number: 1033551767
Provider Enumeration Date: 07/23/2013
Last Update Date: 07/23/2013

Medicare PECOS Information:

PECOS PAC ID: 4789826256
Enrollment ID: I20130813000285

Medical Identifiers

Medical identifiers for Nicole L Mardak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033551767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002772 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wildwood Eye Care Llc	5890839138	3

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. Nicole L Mardak allows following entities to bill medicare on her behalf.

Provider Name	Wildwood Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396073862 PECOS PAC ID: 5890839138 Enrollment ID: O20100224000431

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. Nicole L Mardak 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
Nicole L Mardak, OD 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067-9412 Ph: (770) 952-6412	Nicole L Mardak, OD 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067-9412 Ph: (770) 952-6412

Reviews and Comments

Optometrist in Marietta, GA

Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212
Marietta Vision Professionals Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
The Saun Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4690 Jefferson Township Ln, Marietta, GA 30066 Phone: 404-402-7870 Fax: 770-872-7463
Dr. Jennifer Lynne Travis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064 Phone: 770-590-8951

Nicole L Mardak, OD - Medicare Optometrist in Marietta, GA