Our Healthy Eyes Pc is a medicare enrolled "Ophthalmology" provider in Hazel Park, Michigan. Their current practice location is
22039 John R Rd, Hazel Park, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 336-3937.
Our Healthy Eyes Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Our Healthy Eyes 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 1316494123.
Healthcare Provider's Profile
| Full Name | Our Healthy Eyes Pc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 22039 John R Rd, Hazel Park, Michigan |
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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: 1316494123
- Provider Enumeration Date: 09/09/2016
- Last Update Date: 09/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830478940
- Enrollment ID: O20161114000538
Medical Identifiers
Medical identifiers for Our Healthy Eyes Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316494123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Our Healthy Eyes Pc acts as a billing entity for following providers:
| Provider Name | Gerald J Mullan |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1457361503
PECOS PAC ID: 0547340507
Enrollment ID: I20080103000043 |
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| Provider Name | Amber L Warnat |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1366735128
PECOS PAC ID: 6709003510
Enrollment ID: I20140818002039 |
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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. Our Healthy Eyes 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 |
|---|
Our Healthy Eyes Pc
Po Box 279,
Hazel Park, MI 48030-0279
Ph: (248) 336-3937 | Our Healthy Eyes Pc
22039 John R Rd,
Hazel Park, MI 48030-1712
Ph: (248) 336-3937 |
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