Ratchford Eye Center Llc is a medicare enrolled "Ophthalmology" provider in Berlin, Connecticut. Their current practice location is
1166 Farmington Ave., Berlin, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(860) 829-8939.
Ratchford Eye Center Llc is licensed to practice in Connecticut (license number 037297) and it also participates in the medicare program. Ratchford Eye Center Llc
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 1003995077.
Healthcare Provider's Profile
| Full Name | Ratchford Eye Center Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1166 Farmington Ave., Berlin, Connecticut |
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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: 1003995077
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 12/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244245728
- Enrollment ID: O20060221000199
Medical Identifiers
Medical identifiers for Ratchford Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003995077 | NPI | - | NPPES |
| 004259158 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 037297 (Connecticut) | Primary |
| 207W00000X | Ophthalmology | (* (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.
Ratchford Eye Center Llc acts as a billing entity for following providers:
| Provider Name | Brett W Kjellen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1053338046
PECOS PAC ID: 0840183661
Enrollment ID: I20040205000567 |
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| Provider Name | Mary Gina Ratchford |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1578688909
PECOS PAC ID: 6002821584
Enrollment ID: I20060222000009 |
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| Provider Name | Susel Oropesa |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1992292791
PECOS PAC ID: 3678821725
Enrollment ID: I20220809002715 |
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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. Ratchford Eye Center Llc 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 |
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Ratchford Eye Center Llc
1166 Farmington Ave.,
Berlin, CT 06037-2302
Ph: (860) 829-8939 | Ratchford Eye Center Llc
1166 Farmington Ave.,
Berlin, CT 06037-2302
Ph: (860) 829-8939 |
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