Thomas William Hurst, OD is a medicare enrolled "Optometrist" provider in Bloomfield, New Mexico. His current practice location is
6 Road 7586, Bloomfield, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 368-6401.
Thomas William Hurst is licensed to practice in Alabama (license number 000369) 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 1699766287.
Healthcare Provider's Profile
Full Name | Thomas William Hurst |
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Gender | Male |
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Speciality | Optometrist |
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Location | 6 Road 7586, Bloomfield, New Mexico |
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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: 1699766287
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 02/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 1052436094
- Enrollment ID: I20100915000280
Medical Identifiers
Medical identifiers for Thomas William Hurst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699766287 | NPI | - | NPPES |
01071262 | Medicaid | CO | |
78126 | Medicaid | NM | |
432401 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 000369 (Alabama) | 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. Thomas William Hurst allows following entities to bill medicare on his behalf.
Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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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. Thomas William Hurst 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 William Hurst, OD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6401 | Thomas William Hurst, OD 6 Road 7586, Bloomfield, NM 87413-4934 Ph: (505) 368-6401 |
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