Primary Eye Care Center Of Ahwatukee, Plc - Medicare Optometrist in Phoenix, AZ

Primary Eye Care Center Of Ahwatukee, Plc is a medicare enrolled "Optometrist" provider in Phoenix, Arizona. Their current practice location is 16515 S 40th St Ste 111, Phoenix, Arizona. You can reach out to their office (for appointments etc.) via phone at (480) 706-2020.

Primary Eye Care Center Of Ahwatukee, Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Primary Eye Care Center Of Ahwatukee, Plc 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 1477166379.

Contact Information

Primary Eye Care Center Of Ahwatukee, Plc
16515 S 40th St Ste 111,
Phoenix, AZ 85048-0559
(480) 706-2020
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePrimary Eye Care Center Of Ahwatukee, Plc
TypeFacility
SpecialityOptometrist
Location16515 S 40th St Ste 111, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477166379
  • Provider Enumeration Date: 08/28/2020
  • Last Update Date: 08/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1153732078
  • Enrollment ID: O20201125002276

Medical Identifiers

Medical identifiers for Primary Eye Care Center Of Ahwatukee, Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477166379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primary Eye Care Center Of Ahwatukee, Plc acts as a billing entity for following providers:
Provider NameMichael J De Rubeis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124066394
PECOS PAC ID: 5991725517
Enrollment ID: I20051129000064
Provider NameJenna M Derubeis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447874755
PECOS PAC ID: 6709299506
Enrollment ID: I20210118000242

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. Primary Eye Care Center Of Ahwatukee, Plc 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
Primary Eye Care Center Of Ahwatukee, Plc
3107 E South Fork Dr,
Phoenix, AZ 85048-8753

Ph: (480) 330-5081
Primary Eye Care Center Of Ahwatukee, Plc
16515 S 40th St Ste 111,
Phoenix, AZ 85048-0559

Ph: (480) 706-2020

Reviews and Comments


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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.