Specialty Eyecare Of Evansville, Llc is a medicare enrolled "Ophthalmology" provider in Evansville, Indiana. Their current practice location is
954 S Kenmore Dr, Evansville, Indiana. You can reach out to their office (for appointments etc.) via phone at
(812) 402-2020.
Specialty Eyecare Of Evansville, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Specialty Eyecare Of Evansville, 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 1407195449.
Healthcare Provider's Profile
| Full Name | Specialty Eyecare Of Evansville, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 954 S Kenmore Dr, Evansville, Indiana |
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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: 1407195449
- Provider Enumeration Date: 02/12/2013
- Last Update Date: 02/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 7517105208
- Enrollment ID: O20130608000194
Medical Identifiers
Medical identifiers for Specialty Eyecare Of Evansville, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407195449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Specialty Eyecare Of Evansville, Llc acts as a billing entity for following providers:
| Provider Name | William Carey |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1104821966
PECOS PAC ID: 8224925920
Enrollment ID: I20071211000637 |
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| Provider Name | Reinaldo F Pastora |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1689741704
PECOS PAC ID: 5698840627
Enrollment ID: I20080826000399 |
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| Provider Name | Floyd M Cornell |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1629188982
PECOS PAC ID: 6305883034
Enrollment ID: I20130612000394 |
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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. Specialty Eyecare Of Evansville, 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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Specialty Eyecare Of Evansville, Llc
Po Box 3597,
Evansville, IN 47734-3597
Ph: (812) 402-2020 | Specialty Eyecare Of Evansville, Llc
954 S Kenmore Dr,
Evansville, IN 47714-7513
Ph: (812) 402-2020 |
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