Gary D Distin, OD is a medicare enrolled "Optometrist" provider in Monmouth, Illinois. His current practice location is
67 Public Sq, Monmouth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 734-3108.
Gary D Distin is licensed to practice in Illinois (license number 046006527) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477548287.
Healthcare Provider's Profile
Full Name | Gary D Distin |
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Gender | Male |
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Speciality | Optometrist |
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Location | 67 Public Sq, Monmouth, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477548287
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 05/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 4981715448
- Enrollment ID: I20101101000331
Medical Identifiers
Medical identifiers for Gary D Distin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477548287 | NPI | - | NPPES |
046006527 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046006527 (Illinois) | 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. Gary D Distin allows following entities to bill medicare on his behalf.
Provider Name | Drs. Distin & Doyle, Optometrists |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1437375029 PECOS PAC ID: 9234256249 Enrollment ID: O20101101000245 |
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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. Gary D Distin 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 |
Gary D Distin, OD 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 | Gary D Distin, OD 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 |
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