Nyc 1312 Llc is a medicare enrolled "Technician/technologist - Optician" provider in Brooklyn, New York. Their current practice location is
1312 Avenue U, Brooklyn, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 304-0533.
Nyc 1312 Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nyc 1312 Llc
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 1639896335.
Healthcare Provider's Profile
| Full Name | Nyc 1312 Llc |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 1312 Avenue U, Brooklyn, New York |
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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: 1639896335
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082068242
- Enrollment ID: O20230922000336
Medical Identifiers
Medical identifiers for Nyc 1312 Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639896335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Nyc 1312 Llc acts as a billing entity for following providers:
| Provider Name | Paul P Repage |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1396724001
PECOS PAC ID: 5294727806
Enrollment ID: I20181015000538 |
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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. Nyc 1312 Llc 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 |
|---|
Nyc 1312 Llc
1312 Avenue U,
Brooklyn, NY 11229-3306
Ph: (718) 304-0533 | Nyc 1312 Llc
1312 Avenue U,
Brooklyn, NY 11229-3306
Ph: (718) 304-0533 |
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