Mary Leann Boomer, OD - Medicare Optometrist in Traverse City, MI

Mary Leann Boomer, OD is a medicare enrolled "Optometrist" provider in Traverse City, Michigan. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grand Traverse Ophthalmology Clinic Pc and her current practice location is 929 Business Park Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 947-6246.

Mary Leann Boomer is licensed to practice in Michigan (license number 4901005448) 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 1285256859.

Contact Information

Mary Leann Boomer, OD
929 Business Park Dr,
Traverse City, MI 49686-8683
(231) 947-6246
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Leann Boomer
GenderFemale
SpecialityOptometry
Experience4 Years
Location929 Business Park Dr, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Leann Boomer graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1285256859
  • Provider Enumeration Date: 05/17/2020
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890118608
  • Enrollment ID: I20200713002712

Medical Identifiers

Medical identifiers for Mary Leann Boomer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285256859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901005448 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Traverse Ophthalmology Clinic Pc498150352114

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. Mary Leann Boomer allows following entities to bill medicare on her behalf.
Provider NameGrand Traverse Ophthalmology Clinic Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265426514
PECOS PAC ID: 4981503521
Enrollment ID: O20040724000399

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. Mary Leann Boomer 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
Mary Leann Boomer, OD
929 Business Park Dr,
Traverse City, MI 49686-8683

Ph: (231) 947-6246
Mary Leann Boomer, OD
929 Business Park Dr,
Traverse City, MI 49686-8683

Ph: (231) 947-6246

Reviews and Comments


Optometrist in Traverse City, MI

Jennifer Ann Lintz, OD
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Phone: 231-947-6246    Fax: 231-947-8864
Julie Slough Runstrom, OD
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Phone: 231-941-7788    Fax: 231-941-0893
Christopher Gilmartin, O.d., Inc
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Phone: 231-947-8667    
Carl J Erickson, OD
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Phone: 231-935-8101    Fax: 231-935-0955
Full Spectrum Eyecare
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Medicare: Medicare Enrolled
Practice Location: 328 Munson Ave, Traverse City, MI 49686
Phone: 231-946-8460    Fax: 231-946-8507
Marc L Austhof Od Eye Care Services Pllc
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Practice Location: 2640 Crossing Cir, Traverse City, MI 49684
Phone: 231-933-7195    Fax: 231-933-7197

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.