Tara Brackley, OD in Fayetteville, NY - Medicare Optometry Provider

Tara Brackley, OD is a medicare enrolled "Optometrist" provider in Fayetteville, New York. She went to New England College Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Surgeons Of Central New York, P.c. and her current practice location is 4000 Medical Center Dr, Suite 207, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 637-1010.

Tara Brackley is licensed to practice in New York (license number TUV008116) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144633702.

Contact Information

	Tara Brackley, OD
	4000 Medical Center Dr, Suite 207, Fayetteville, NY 13066-6631
	(315) 637-1010
	(315) 637-2010

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Brackley
Gender	Female
Speciality	Optometry
Experience	10 Years
Location	4000 Medical Center Dr, Fayetteville, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Brackley attended and graduated from New England College Of Optometry in 2014

NPI Data:

NPI Number: 1144633702
Provider Enumeration Date: 06/11/2014
Last Update Date: 06/11/2014

Medicare PECOS Information:

PECOS PAC ID: 6709003965
Enrollment ID: I20140812000462

Medical Identifiers

Medical identifiers for Tara Brackley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144633702	NPI	-	NPPES
TUV008116	Other	NY	NYS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV008116 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Surgeons Of Central New York, P.c.	7416135504	4

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. Tara Brackley allows following entities to bill medicare on her behalf.

Provider Name	Empire Vision Center Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405

Provider Name	Eye Surgeons Of Central New York, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881725810 PECOS PAC ID: 7416135504 Enrollment ID: O20110620000237

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. Tara Brackley 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
Tara Brackley, OD 6221 State Route 31, Suite 104, Cicero, NY 13039-8715 Ph: (315) 752-0141	Tara Brackley, OD 4000 Medical Center Dr, Suite 207, Fayetteville, NY 13066-6631 Ph: (315) 637-1010

Reviews and Comments

Optometrist in Fayetteville, NY

Nita Saini, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 103 Towne Dr, Fayetteville, NY 13066 Phone: 315-632-6036 Fax: 315-632-6038
Dr. Michelle Kaplan Bass, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5007 Saddlebrook Dr, Fayetteville, NY 13066 Phone: 315-243-8025
Dr. Paul Edward Gardner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6859 East Genesee Street, Empire Vision Centers, Fayetteville, NY 13066 Phone: 315-251-2206 Fax: 315-251-2220
National Eye Care, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 5160 Kinloch Circle, Fayetteville, NY 13066 Phone: 518-302-5578 Fax: 518-302-5588
Adrian Montes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6859 E Genesee St, Fayetteville, NY 13066 Phone: 315-251-2206

Tara Brackley, OD - Medicare Optometrist in Fayetteville, NY