Bluegrass Family Eyecare Inc. is a medicare enrolled "Optometrist" provider in Beaver Dam, Kentucky. Their current practice location is
1303 Main Street, Beaver Dam, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(270) 274-3294.
Bluegrass Family Eyecare Inc. is licensed to practice in Kentucky (license number 0956DT) and it also participates in the medicare program. Bluegrass Family Eyecare Inc.
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 1598838385.
Healthcare Provider's Profile
| Full Name | Bluegrass Family Eyecare Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1303 Main Street, Beaver Dam, Kentucky |
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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: 1598838385
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 06/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274525290
- Enrollment ID: O20040331000832
Medical Identifiers
Medical identifiers for Bluegrass Family Eyecare Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598838385 | NPI | - | NPPES |
| 77903607 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 0956DT (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bluegrass Family Eyecare Inc. acts as a billing entity for following providers:
| Provider Name | Mallory S Roberts |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1679668198
PECOS PAC ID: 6709878762
Enrollment ID: I20040405000086 |
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| Provider Name | Jonathan Shrewsbury |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1326050329
PECOS PAC ID: 5193639896
Enrollment ID: I20111212000221 |
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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. Bluegrass Family Eyecare Inc. 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 |
|---|
Bluegrass Family Eyecare Inc.
1303 Main Street,
Beaver Dam, KY 42320
Ph: () - | Bluegrass Family Eyecare Inc.
1303 Main Street,
Beaver Dam, KY 42320
Ph: (270) 274-3294 |
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