Fayette Family Vision Care - Medicare Primary Care in Eads, TN

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Fayette Family Vision Care is a medicare enrolled primary clinic (Clinic/center) in Eads, Tennessee. The current practice location for Fayette Family Vision Care is 3161 Highway 64 Ste 500, Eads, Tennessee. For appointments, you can reach them via phone at (901) 465-3130. The mailing address for Fayette Family Vision Care is 3161 Highway 64 Ste 500, Eads, Tennessee and phone number is (901) 465-3130.

Fayette Family Vision Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750942363. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (901) 465-3130.

Contact Information

Fayette Family Vision Care
3161 Highway 64 Ste 500
Eads
TN 38028-3370
(901) 465-3130
(901) 234-0133

Map and Direction


Primary Care Clinic Profile

Full NameFayette Family Vision Care
SpecialityClinic/Center
Location3161 Highway 64 Ste 500, Eads, Tennessee
Authorized Official Name and PositionSheila S Howell (CREDENTIALING AND CONTRACTING)
Authorized Official Contact9017572020
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fayette Family Vision Care
3161 Highway 64 Ste 500
Eads
TN 38028-3370

Ph: (901) 465-3130		Fayette Family Vision Care
3161 Highway 64 Ste 500
Eads
TN 38028-3370

Ph: (901) 465-3130

NPI Details:

NPI Number1750942363
Provider Enumeration Date06/25/2019
Last Update Date05/24/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2567886062
Medicare Enrollment IDO20200716002525

Medical Identifiers

Medical identifiers for Fayette Family Vision Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750942363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Fayette Family Vision Care acts as a billing entity for following providers:
Provider NamePaul D Mormon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699768887
PECOS PAC ID: 7517926082
Enrollment ID: I20041008001145
Provider NameDavid Charles Haba
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720500218
PECOS PAC ID: 3476812314
Enrollment ID: I20180122002376
Provider NameAubrey L Long
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073175329
PECOS PAC ID: 1052641214
Enrollment ID: I20191001002843
Provider NameTy H Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992282529
PECOS PAC ID: 7911241773
Enrollment ID: I20210706001054
Provider NameAlice Hanson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447944335
PECOS PAC ID: 1052770260
Enrollment ID: I20230706002464

Reviews and Comments


Clinic/Center in Eads, TN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.