Thornapple Eyecare is a medicare enrolled "Optometrist" provider in Middleville, Michigan. Their current practice location is
4624 N M 37 Hwy, Middleville, Michigan. You can reach out to their office (for appointments etc.) via phone at
(269) 213-8108.
Thornapple Eyecare is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Thornapple Eyecare
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 1205617776.
Healthcare Provider's Profile
| Full Name | Thornapple Eyecare |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 4624 N M 37 Hwy, Middleville, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205617776
- Provider Enumeration Date: 10/11/2023
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991156085
- Enrollment ID: O20240112003940
Medical Identifiers
Medical identifiers for Thornapple Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205617776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Thornapple Eyecare acts as a billing entity for following providers:
| Provider Name | Jeffrey J Kenyon |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1659334522
PECOS PAC ID: 6406880954
Enrollment ID: I20070417000320 |
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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. Thornapple Eyecare 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 |
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Thornapple Eyecare
5098 Ravine Dr,
Middleville, MI 49333-8482
Ph: () - | Thornapple Eyecare
4624 N M 37 Hwy,
Middleville, MI 49333-8162
Ph: (269) 213-8108 |
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