Northeast Eye Specialists Pc is a medicare enrolled "Ophthalmology" provider in Hazleton, Pennsylvania. Their current practice location is
1060 N Church St, Hazleton, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(570) 459-9927.
Northeast Eye Specialists Pc is licensed to practice in Pennsylvania (license number ) and it also participates in the medicare program. Northeast Eye Specialists Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295735389.
Healthcare Provider's Profile
| Full Name | Northeast Eye Specialists Pc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1060 N Church St, Hazleton, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295735389
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133020589
- Enrollment ID: O20040119000081
Medical Identifiers
Medical identifiers for Northeast Eye Specialists Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295735389 | NPI | - | NPPES |
| 0016264800010 | Medicaid | PA | |
| CM6827 | Other | PA | PALMETTO GBA |
| 0016264800007 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northeast Eye Specialists Pc acts as a billing entity for following providers:
| Provider Name | John T Anzelmi |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1447250592
PECOS PAC ID: 9032216551
Enrollment ID: I20070517000583 |
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| Provider Name | Nicholas J Barna |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1154321776
PECOS PAC ID: 2668373010
Enrollment ID: I20100712000308 |
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| Provider Name | Jay B Tanner |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1528068145
PECOS PAC ID: 0941332829
Enrollment ID: I20100712000369 |
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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. Northeast Eye Specialists Pc 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 |
|---|
Northeast Eye Specialists Pc
1060 N Church St,
Hazleton, PA 18202-1444
Ph: (570) 459-9927 | Northeast Eye Specialists Pc
1060 N Church St,
Hazleton, PA 18202-1444
Ph: (570) 459-9927 |
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