Dr Regan Marquis Prudhomme, OD - Medicare Optometrist in Manchester, CT

Dr Regan Marquis Prudhomme, OD is a medicare enrolled "Optometrist" provider in Manchester, Connecticut. Her current practice location is 194 Buckland Hills Dr, Suite 1106, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 644-3364.

Dr Regan Marquis Prudhomme is licensed to practice in Connecticut (license number 002721) 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 1548450588.

Contact Information

Dr Regan Marquis Prudhomme, OD
194 Buckland Hills Dr, Suite 1106,
Manchester, CT 06042
(860) 644-3364
(860) 667-4377

Map and Direction




Healthcare Provider's Profile

Full NameDr Regan Marquis Prudhomme
GenderFemale
SpecialityOptometrist
Location194 Buckland Hills Dr, Manchester, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548450588
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 04/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9931298098
  • Enrollment ID: I20071128000138

Medical Identifiers

Medical identifiers for Dr Regan Marquis Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548450588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 002721 (Connecticut)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. Dr Regan Marquis Prudhomme allows following entities to bill medicare on her behalf.
Provider NamePrudhomme Vision Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649504432
PECOS PAC ID: 6709182041
Enrollment ID: O20160311001107

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. Dr Regan Marquis Prudhomme 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 AddressPractice Location Address
Dr Regan Marquis Prudhomme, OD
194 Buckland Hills Dr, Suite 1106,
Manchester, CT 06042

Ph: (860) 644-3364
Dr Regan Marquis Prudhomme, OD
194 Buckland Hills Dr, Suite 1106,
Manchester, CT 06042

Ph: (860) 644-3364

Reviews and Comments


Optometrist in Manchester, CT

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Ryan Earle White, OD
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Practice Location: 194 Buckland Hills Dr Ste 1106, Manchester, CT 06042
Phone: 860-644-3364    Fax: 860-648-0592

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.