- Medicare Optometrist in Poolesville, MD

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is a medicare enrolled "Optometrist" provider in Poolesville, Maryland. Their current practice location is 20005 B Fisher Ave, Poolesville, Maryland. You can reach out to their office (for appointments etc.) via phone at (301) 916-3214.

is licensed to practice in Maryland (license number TA1222) and it also participates in the medicare program. 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 1114206943.

Contact Information

20005 B Fisher Ave,
Poolesville, MD 20837-2408
(301) 916-3214
(301) 916-3101

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location20005 B Fisher Ave, Poolesville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114206943
  • Provider Enumeration Date: 08/10/2011
  • Last Update Date: 08/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3678826179
  • Enrollment ID: O20181031000700

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114206943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA1222 (Maryland)Primary
152WC0802XOptometrist - Corneal And Contact Management TA1222 (Maryland)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation TA1222 (Maryland)Secondary
152WP0200XOptometrist - Pediatrics TA1222 (Maryland)Secondary
152WS0006XOptometrist - Sports Vision TA1222 (Maryland)Secondary
152WV0400XOptometrist - Vision Therapy TA1222 (Maryland)Secondary
152WX0102XOptometrist - Occupational Vision TA1222 (Maryland)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRobin Mevissen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164500864
PECOS PAC ID: 5092819045
Enrollment ID: I20110421000439
Provider NameThomas K Mcinnes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447312061
PECOS PAC ID: 3678756020
Enrollment ID: I20120222000768

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. 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 AddressPractice Location Address

20005 B Fisher Ave,
Poolesville, MD 20837-2408

Ph: (301) 916-3214
20005 B Fisher Ave,
Poolesville, MD 20837-2408

Ph: (301) 916-3214

Reviews and Comments


Optometrist in Poolesville, MD

Robin Mevissen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 20005 B Fisher Ave, Poolesville, MD 20837
Phone: 301-916-3214    Fax: 301-916-3101

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.