Roger L Radell O D Incorporated P C is a medicare enrolled "Optometrist" provider in Prague, Oklahoma. Their current practice location is
915 9th Street, Prague, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(405) 567-2261.
Roger L Radell O D Incorporated P C is licensed to practice in Oklahoma (license number 2024) and it also participates in the medicare program. Roger L Radell O D Incorporated P 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 1275753550.
Healthcare Provider's Profile
Full Name | Roger L Radell O D Incorporated P C |
---|
Type | Facility |
---|
Speciality | Optometrist |
---|
Location | 915 9th Street, Prague, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275753550
- Provider Enumeration Date: 04/27/2007
- Last Update Date: 04/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 7315029998
- Enrollment ID: O20080205000279
Medical Identifiers
Medical identifiers for Roger L Radell O D Incorporated P C such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275753550 | NPI | - | NPPES |
1275753550 | Other | | NPI |
200618310A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2024 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Roger L Radell O D Incorporated P C acts as a billing entity for following providers:
Provider Name | Roger L Radell |
---|
Provider Type | Practitioner - Optometry |
---|
Provider Identifiers | NPI Number: 1265539613 PECOS PAC ID: 0345322913 Enrollment ID: I20080205000248 |
---|
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. Roger L Radell O D Incorporated P 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 |
Roger L Radell O D Incorporated P C Po Box 507, Prague, OK 74864-0507 Ph: (405) 567-2261 | Roger L Radell O D Incorporated P C 915 9th Street, Prague, OK 74864-0507 Ph: (405) 567-2261 |
Reviews and Comments