Vance Vision Clinic Pa is a medicare enrolled "Optometrist" provider in Cotter, Arkansas. Their current practice location is
1200 W Main St, Suite 4, Cotter, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 435-3333.
Vance Vision Clinic Pa is licensed to practice in Arkansas (license number 2657) and it also participates in the medicare program. Vance Vision Clinic Pa
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 1114224201.
Healthcare Provider's Profile
| Full Name | Vance Vision Clinic Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1200 W Main St, Cotter, Arkansas |
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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: 1114224201
- Provider Enumeration Date: 02/25/2011
- Last Update Date: 03/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 3375726219
- Enrollment ID: O20110330000401
Medical Identifiers
Medical identifiers for Vance Vision Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114224201 | NPI | - | NPPES |
| 187164722 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2657 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vance Vision Clinic Pa acts as a billing entity for following providers:
| Provider Name | Dustin C Vance |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1235445297
PECOS PAC ID: 4981887718
Enrollment ID: I20110331000527 |
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| Provider Name | Winn A Meredith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1841646494
PECOS PAC ID: 3870885684
Enrollment ID: I20160714000290 |
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| Provider Name | Alexandra R Meredith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1114374626
PECOS PAC ID: 7012202096
Enrollment ID: I20160830001825 |
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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. Vance Vision Clinic Pa 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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Vance Vision Clinic Pa
1200 W Main St, Suite 4,
Cotter, AR 72626-9777
Ph: (870) 435-3333 | Vance Vision Clinic Pa
1200 W Main St, Suite 4,
Cotter, AR 72626-9777
Ph: (870) 435-3333 |
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