Priscilla R Heredia Od Pllc is a medicare enrolled "Ophthalmology" provider in Eagle Pass, Texas. Their current practice location is
708 S Bibb Ave, Eagle Pass, Texas. You can reach out to their office (for appointments etc.) via phone at
(830) 773-7339.
Priscilla R Heredia Od Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Priscilla R Heredia Od Pllc
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 1346831146.
Healthcare Provider's Profile
| Full Name | Priscilla R Heredia Od Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 708 S Bibb Ave, Eagle Pass, Texas |
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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: 1346831146
- Provider Enumeration Date: 02/03/2021
- Last Update Date: 02/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476969866
- Enrollment ID: O20210310000116
Medical Identifiers
Medical identifiers for Priscilla R Heredia Od Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346831146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | (* (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.
Priscilla R Heredia Od Pllc acts as a billing entity for following providers:
| Provider Name | Priscilla R Heredia |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1104208263
PECOS PAC ID: 0941516611
Enrollment ID: I20150826002481 |
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| Provider Name | Herbert H Bowden |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1740249564
PECOS PAC ID: 9234284803
Enrollment ID: I20190722000728 |
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| Provider Name | Lizett J Martinez |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1528782174
PECOS PAC ID: 4284003518
Enrollment ID: I20221208002314 |
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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. Priscilla R Heredia Od Pllc 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 |
|---|
Priscilla R Heredia Od Pllc
708 S Bibb Ave,
Eagle Pass, TX 78852-5069
Ph: (830) 773-7339 | Priscilla R Heredia Od Pllc
708 S Bibb Ave,
Eagle Pass, TX 78852-5069
Ph: (830) 773-7339 |
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