Cedar Run Eye Center, Pllc is a medicare enrolled "Ophthalmology" provider in Traverse City, Michigan. Their current practice location is
3830 W Front St, Traverse City, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 929-3888.
Cedar Run Eye Center, Pllc is licensed to practice in Michigan (license number 4301048021) and it also participates in the medicare program. Cedar Run Eye Center, Pllc
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 1518029909.
Healthcare Provider's Profile
| Full Name | Cedar Run Eye Center, Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 3830 W Front St, Traverse City, Michigan |
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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: 1518029909
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 05/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527165000
- Enrollment ID: O20070517000278
Medical Identifiers
Medical identifiers for Cedar Run Eye Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518029909 | NPI | - | NPPES |
| 900001413 | Other | MI | PRIORITY - CREC |
| 900B86347001 | Other | MI | BCBSM |
| 180B86357 | Other | MI | BCBS TBH |
| 900B86347003 | Other | MI | BCBSM |
| 1134113517 | Other | MI | RAILROAD MEDICARE/CIZEK |
| 900B86347 | Other | MI | BCBS OPTOM GROUP |
| 943166469 | Medicaid | MI | |
| 943166487 | Medicaid | MI | |
| CN1586 | Other | MI | RAILROAD MEDICARE/CREC |
| 943166496 | Medicaid | MI | |
| 1020070001 | Other | MI | DMERC REGION B |
| 102022 | Other | MI | PREFERRED CHOICE |
| 1144214180 | Other | MI | RAILROAD MEDICARE/HANLEY |
| CG1308 | Other | MI | RAILROAD MEDICARE/TSC |
| 103164508 | Medicaid | MI | |
| 1497736102 | Other | MI | RAILROAD MEDICARE/HUMMEL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901003094 (Michigan) | Secondary |
| 152W00000X | Optometrist | 4901003086 (Michigan) | Secondary |
| 152W00000X | Optometrist | 4901004107 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301048021 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4301048021 (Michigan) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Cedar Run Eye Center, Pllc acts as a billing entity for following providers:
| Provider Name | Jodi M Hummel |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1497736102
PECOS PAC ID: 8527165018
Enrollment ID: I20070517000369 |
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| Provider Name | Kathryn A Cizek |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1134113517
PECOS PAC ID: 5193850436
Enrollment ID: I20100311001016 |
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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. Cedar Run Eye Center, Pllc 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 |
|---|
Cedar Run Eye Center, Pllc
3830 W Front St,
Traverse City, MI 49684-8153
Ph: (231) 929-3888 | Cedar Run Eye Center, Pllc
3830 W Front St,
Traverse City, MI 49684-8153
Ph: (231) 929-3888 |
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