Wen Ying Fan, OD is a medicare enrolled "Optometrist" provider in Imlay City, Michigan. Her current practice location is
1793 S Cedar St, Imlay City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 721-9411.
Wen Ying Fan is licensed to practice in Michigan (license number 4901005375) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629730122.
Healthcare Provider's Profile
| Full Name | Wen Ying Fan |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1793 S Cedar St, Imlay City, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629730122
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 10/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284032665
- Enrollment ID: I20211015001114
Medical Identifiers
Medical identifiers for Wen Ying Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629730122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901005375 (Michigan) | 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. Wen Ying Fan allows following entities to bill medicare on her behalf.
| Provider Name | Svs Vision Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194879023
PECOS PAC ID: 9931257110
Enrollment ID: O20090427000507 |
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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. Wen Ying Fan 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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Wen Ying Fan, OD
118 Cass Ave,
Mount Clemens, MI 48043-2204
Ph: (586) 468-7370 | Wen Ying Fan, OD
1793 S Cedar St,
Imlay City, MI 48444-1342
Ph: (810) 721-9411 |
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