Russell S Fillmore, OD in Mansfield, OH - Medicare Optometry Provider

Russell S Fillmore, OD is a medicare enrolled "Optometrist" provider in Mansfield, Ohio. He went to Ohio State University - College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clarkson Optometry Midwest Inc and his current practice location is 1164 Lexington Ave, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 756-0500.

Russell S Fillmore is licensed to practice in Ohio (license number 4193T1387) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306860754.

Contact Information

	Russell S Fillmore, OD
	1164 Lexington Ave, Mansfield, OH 44907-2254
	(419) 756-0500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Russell S Fillmore
Gender	Male
Speciality	Optometry
Experience	34 Years
Location	1164 Lexington Ave, Mansfield, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Russell S Fillmore attended and graduated from Ohio State University - College Of Optometry in 1990

NPI Data:

NPI Number: 1306860754
Provider Enumeration Date: 07/27/2006
Last Update Date: 06/30/2017

Medicare PECOS Information:

PECOS PAC ID: 7618925116
Enrollment ID: I20050112000225

Medical Identifiers

Medical identifiers for Russell S Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306860754	NPI	-	NPPES
0811607	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	4193T1387 (Ohio)	Secondary
152W00000X	Optometrist	4193T1387 (Ohio)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	4193T1387 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clarkson Optometry Midwest Inc	0749504165	79

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Russell S Fillmore allows following entities to bill medicare on his behalf.

Provider Name	Northwest Eyecare Professionals Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831330976 PECOS PAC ID: 4183778764 Enrollment ID: O20090817000266

Provider Name	Clarkson Optometry Midwest Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20150113001118

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. Russell S Fillmore 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
Russell S Fillmore, OD 1164 Lexington Ave, Mansfield, OH 44907-2254 Ph: (419) 756-0500	Russell S Fillmore, OD 1164 Lexington Ave, Mansfield, OH 44907-2254 Ph: (419) 756-0500

Reviews and Comments

Optometrist in Mansfield, OH

Dr. Brian Kleshinski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1341 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-0081 Fax: 419-756-1631
Dr. Douglas James Schumer, M.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 240 W Cook Rd, Mansfield, OH 44907 Phone: 419-525-3737 Fax: 419-525-3740
Dr. Daniel Thomas Soderberg, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1164 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-0500
Dr. Bairanje R Nayak, PHD OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1456 Park Ave W, Suite R, Mansfield, OH 44906 Phone: 419-529-6699 Fax: 419-529-6379
Ronald A Pycraft, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1456 Park Ave W, Mansfield, OH 44906 Phone: 419-529-4602
Dr. Elizabeth Anne Frankhouse, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 359 N Lexington Springmill Rd, Mansfield, OH 44906 Phone: 419-529-9675

Russell S Fillmore, OD - Medicare Optometrist in Mansfield, OH