- Medicare in Jackson, MI

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is a medicare enrolled "Specialist" provider in Jackson, Michigan. Their current practice location is 1015 Laurence Ave, Jackson, Michigan. You can reach out to their office (for appointments etc.) via phone at (517) 787-0364.

is licensed to practice in Michigan (license number MP404850) and it also participates in the medicare program. 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 1346230554.

Contact Information

1015 Laurence Ave,
Jackson, MI 49202-2964
(517) 787-0364
(517) 787-2272

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySpecialist
Location1015 Laurence Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346230554
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 05/04/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6507899952
  • Enrollment ID: O20050915000608

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346230554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003044 (Michigan)Secondary
152W00000XOptometrist 49010043006 (Michigan)Secondary
174400000XSpecialist AW028076 (Michigan)Secondary
174400000XSpecialist MP404850 (Michigan)Primary
174400000XSpecialist MC057919 (Michigan)Secondary
174400000XSpecialist 4301085940 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameAllison A Bissot
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093705295
PECOS PAC ID: 5294768651
Enrollment ID: I20050915000646
Provider NameGilbert Blanks
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114917317
PECOS PAC ID: 7315970761
Enrollment ID: I20061027000471
Provider NameMichael A Chames
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023009057
PECOS PAC ID: 4688607039
Enrollment ID: I20100623001005
Provider NameMartin C Patrias
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720078918
PECOS PAC ID: 2860425212
Enrollment ID: I20100702000141
Provider NameMarius A Tijunelis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720020332
PECOS PAC ID: 2769423219
Enrollment ID: I20110119000532
Provider NameNicole Sparks
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942684709
PECOS PAC ID: 1456651850
Enrollment ID: I20151207001993

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. 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 AddressPractice Location Address

1015 Laurence Ave,
Jackson, MI 49202-2964

Ph: (517) 787-0364
1015 Laurence Ave,
Jackson, MI 49202-2964

Ph: (517) 787-0364

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.