Thomas George Bastholm, OD is a medicare enrolled "Optometrist" provider in Lewes, Delaware. His current practice location is
1540 Savannah Rd, Lewes, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 645-2020.
Thomas George Bastholm is licensed to practice in Delaware (license number DEI30001133) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295808848.
Healthcare Provider's Profile
Full Name | Thomas George Bastholm |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1540 Savannah Rd, Lewes, Delaware |
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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: 1295808848
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315087715
- Enrollment ID: I20091216000086
Medical Identifiers
Medical identifiers for Thomas George Bastholm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295808848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | DEI30001133 (Delaware) | Primary |
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. Thomas George Bastholm 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 |
Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 | Thomas George Bastholm, OD 1540 Savannah Rd, Lewes, DE 19958-1682 Ph: (302) 645-2020 |
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