Passons Eye Center, P.l.l.c. is a medicare enrolled "Ophthalmology" provider in Memphis, Tennessee. Their current practice location is
909 Ridgeway Loop Rd, Memphis, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(901) 683-1112.
Passons Eye Center, P.l.l.c. is licensed to practice in Tennessee (license number MD12831) and it also participates in the medicare program. Passons Eye Center, P.l.l.c.
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 1720264468.
Healthcare Provider's Profile
| Full Name | Passons Eye Center, P.l.l.c. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 909 Ridgeway Loop Rd, Memphis, Tennessee |
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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: 1720264468
- Provider Enumeration Date: 01/11/2008
- Last Update Date: 05/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 1052494788
- Enrollment ID: O20081119000403
Medical Identifiers
Medical identifiers for Passons Eye Center, P.l.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720264468 | NPI | - | NPPES |
| 4176557 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
| 30235062 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TNOD641T (Tennessee) | Secondary |
| 207W00000X | Ophthalmology | MD12831 (Tennessee) | Primary |
| 207W00000X | Ophthalmology | MD36450 (Tennessee) | Secondary |
| 207W00000X | Ophthalmology | MD43481 (Tennessee) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Passons Eye Center, P.l.l.c. acts as a billing entity for following providers:
| Provider Name | Gary Passons |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1689784985
PECOS PAC ID: 0840274387
Enrollment ID: I20081104000699 |
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| Provider Name | Joseph P Rowland |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1922118892
PECOS PAC ID: 4688658107
Enrollment ID: I20081122000073 |
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| Provider Name | James Echols |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1316166507
PECOS PAC ID: 3375613979
Enrollment ID: I20081122000087 |
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| Provider Name | Henry Gordon Wynn |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1679816102
PECOS PAC ID: 7618116229
Enrollment ID: I20170627001438 |
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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. Passons Eye Center, P.l.l.c. 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 |
|---|
Passons Eye Center, P.l.l.c.
909 Ridgeway Loop Rd,
Memphis, TN 38120-4016
Ph: (901) 683-1112 | Passons Eye Center, P.l.l.c.
909 Ridgeway Loop Rd,
Memphis, TN 38120-4016
Ph: (901) 683-1112 |
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