Stephen Mammoottil John, OD in Marietta, GA - Medicare Optometry Provider

Stephen Mammoottil John, OD is a medicare enrolled "Optometrist" provider in Marietta, Georgia. He went to University Alabama Birmingham - School Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Marietta Eye Clinic, Pa and his current practice location is 3960 Shallowford Rd, #a, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 642-4001.

Stephen Mammoottil John is licensed to practice in Georgia (license number 2580) 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 1275763062.

Contact Information

	Stephen Mammoottil John, OD
	3960 Shallowford Rd, #a, Marietta, GA 30062-5058
	(770) 642-4001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Mammoottil John
Gender	Male
Speciality	Optometry
Experience	15 Years
Location	3960 Shallowford Rd, Marietta, Georgia
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:

Stephen Mammoottil John attended and graduated from University Alabama Birmingham - School Of Optometry in 2009

NPI Data:

NPI Number: 1275763062
Provider Enumeration Date: 07/15/2009
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID: 3971771106
Enrollment ID: I20110714000248

Medical Identifiers

Medical identifiers for Stephen Mammoottil John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275763062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5872 (Ohio)	Secondary
152W00000X	Optometrist	2580 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marietta Eye Clinic, Pa	0143210427	35

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. Stephen Mammoottil John allows following entities to bill medicare on his behalf.

Provider Name	Marietta Eye Clinic, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255333175 PECOS PAC ID: 0143210427 Enrollment ID: O20040518000057

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. Stephen Mammoottil John 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
Stephen Mammoottil John, OD 3960 Shallowford Rd, #a, Marietta, GA 30062-5058 Ph: () -	Stephen Mammoottil John, OD 3960 Shallowford Rd, #a, Marietta, GA 30062-5058 Ph: (770) 642-4001

Reviews and Comments

Optometrist in Marietta, GA

Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212
Marietta Vision Professionals Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
The Saun Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4690 Jefferson Township Ln, Marietta, GA 30066 Phone: 404-402-7870 Fax: 770-872-7463
Dr. Jennifer Lynne Travis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064 Phone: 770-590-8951

Stephen Mammoottil John, OD - Medicare Optometrist in Marietta, GA