Mrs Brittany Rae Disterheft, OD is a medicare enrolled "Optometrist" provider in Cedar Lake, Indiana. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Illiana Eyecare Inc and her current practice location is
13115 Wicker Ave Ste E, Cedar Lake, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 374-7800.
Mrs Brittany Rae Disterheft is licensed to practice in Indiana (license number 18004052A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760906135.
Healthcare Provider's Profile
Full Name | Mrs Brittany Rae Disterheft |
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Gender | Female |
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Speciality | Optometry |
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Experience | 7 Years |
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Location | 13115 Wicker Ave Ste E, Cedar Lake, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Brittany Rae Disterheft graduated from medical school in 2017
NPI Data:
- NPI Number: 1760906135
- Provider Enumeration Date: 07/27/2017
- Last Update Date: 08/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769738871
- Enrollment ID: I20180703001238
Medical Identifiers
Medical identifiers for Mrs Brittany Rae Disterheft such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760906135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18004052A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Illiana Eyecare Inc | 9133223373 | 3 |
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. Mrs Brittany Rae Disterheft allows following entities to bill medicare on her behalf.
Provider Name | Holicki Eye Centers, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1811980386 PECOS PAC ID: 3476533324 Enrollment ID: O20050901000212 |
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Provider Name | Illiana Eyecare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1215040142 PECOS PAC ID: 9133223373 Enrollment ID: O20070328000572 |
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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. Mrs Brittany Rae Disterheft 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 |
Mrs Brittany Rae Disterheft, OD 2023 Dorchester Ln Unit 1, Schererville, IN 46375-2640 Ph: () - | Mrs Brittany Rae Disterheft, OD 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 Ph: (219) 374-7800 |
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