Tabetha Leanne Ganzel, OD is a medicare enrolled "Optometrist" provider in Dover Foxcroft, Maine. Her current practice location is
188 Summer St, Dover Foxcroft, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 564-0372.
Tabetha Leanne Ganzel is licensed to practice in Maine (license number OPT1087) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356184758.
Healthcare Provider's Profile
Full Name | Tabetha Leanne Ganzel |
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Gender | Female |
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Speciality | Optometrist |
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Location | 188 Summer St, Dover Foxcroft, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356184758
- Provider Enumeration Date: 06/14/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991243032
- Enrollment ID: I20240820002295
Medical Identifiers
Medical identifiers for Tabetha Leanne Ganzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356184758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT1087 (Maine) | Primary |
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. Tabetha Leanne Ganzel allows following entities to bill medicare on her behalf.
Provider Name | Katahdin Valley Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
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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. Tabetha Leanne Ganzel 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 |
Tabetha Leanne Ganzel, OD 354 Drews Mills Rd, Linneus, ME 04730-4515 Ph: (207) 694-2405 | Tabetha Leanne Ganzel, OD 188 Summer St, Dover Foxcroft, ME 04426-1129 Ph: (207) 564-0372 |
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