Dr Staci Dawn Anderson, OD - Medicare Optometrist in Beavercreek, OH

Dr Staci Dawn Anderson, OD is a medicare enrolled "Optometrist" provider in Beavercreek, Ohio. She went to Ohio State University - College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Optometric Management Group Llc and her current practice location is 2727 Fairfield Commons Blvd, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 427-2779.

Dr Staci Dawn Anderson is licensed to practice in Ohio (license number 5284) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558402578.

Contact Information

Dr Staci Dawn Anderson, OD
2727 Fairfield Commons Blvd,
Beavercreek, OH 45431-3778
(937) 427-2779
(937) 427-1527

Map and Direction




Healthcare Provider's Profile

Full NameDr Staci Dawn Anderson
GenderFemale
SpecialityOptometry
Experience22 Years
Location2727 Fairfield Commons Blvd, Beavercreek, Ohio
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Staci Dawn Anderson attended and graduated from Ohio State University - College Of Optometry in 2002
  NPI Data:
  • NPI Number: 1558402578
  • Provider Enumeration Date: 02/11/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517040025
  • Enrollment ID: I20080207000005

Medical Identifiers

Medical identifiers for Dr Staci Dawn Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558402578NPI-NPPES
220039OtherOHEYEMED PROVIDER ID #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 5284 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optometric Management Group Llc751703429131

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 Staci Dawn Anderson allows following entities to bill medicare on her behalf.
Provider NameOptometric Management Group Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265534093
PECOS PAC ID: 7517034291
Enrollment ID: O20080922000553

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 Staci Dawn Anderson 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 Staci Dawn Anderson, OD
2178 Painter Pl,
Miamisburg, OH 45342-3982

Ph: (937) 865-9635
Dr Staci Dawn Anderson, OD
2727 Fairfield Commons Blvd,
Beavercreek, OH 45431-3778

Ph: (937) 427-2779

Reviews and Comments


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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.