Snake River Eye Associates Of Shelley, Pllc is a medicare enrolled "Optometrist" provider in Shelley, Idaho. Their current practice location is
357 W Fir St, Shelley, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 881-5145.
Snake River Eye Associates Of Shelley, Pllc is licensed to practice in Idaho (license number ) and it also participates in the medicare program. Snake River Eye Associates Of Shelley, 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 1366794299.
Healthcare Provider's Profile
| Full Name | Snake River Eye Associates Of Shelley, Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 357 W Fir St, Shelley, Idaho |
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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: 1366794299
- Provider Enumeration Date: 10/02/2012
- Last Update Date: 08/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 2365695715
- Enrollment ID: O20130116000091
Medical Identifiers
Medical identifiers for Snake River Eye Associates Of Shelley, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366794299 | NPI | - | NPPES |
| 1366794299 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Snake River Eye Associates Of Shelley, Pllc acts as a billing entity for following providers:
| Provider Name | Dennis S Radford |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1457461261
PECOS PAC ID: 9335229897
Enrollment ID: I20080109000609 |
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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. Snake River Eye Associates Of Shelley, 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 |
|---|
Snake River Eye Associates Of Shelley, Pllc
Po Box K,
Shelley, ID 83274-0910
Ph: (208) 881-5145 | Snake River Eye Associates Of Shelley, Pllc
357 W Fir St,
Shelley, ID 83274-1456
Ph: (208) 881-5145 |
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