Stoken Wagner Ophthalmic Associates, Llc is a medicare enrolled "Ophthalmology" provider in Carlisle, Pennsylvania. Their current practice location is
338 Alexander Spring Rd, Carlisle, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(717) 249-6337.
Stoken Wagner Ophthalmic Associates, Llc is licensed to practice in Pennsylvania (license number MD032077E) and it also participates in the medicare program. Stoken Wagner Ophthalmic Associates, Llc
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 1306213319.
Healthcare Provider's Profile
| Full Name | Stoken Wagner Ophthalmic Associates, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 338 Alexander Spring Rd, Carlisle, Pennsylvania |
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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: 1306213319
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 04/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 6608177472
- Enrollment ID: O20151221001326
Medical Identifiers
Medical identifiers for Stoken Wagner Ophthalmic Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306213319 | NPI | - | NPPES |
| 103079526 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OE7242T (Pennsylvania) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | MD032077E (Pennsylvania) | Primary |
| 207W00000X | Ophthalmology | MD423128 (Pennsylvania) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Stoken Wagner Ophthalmic Associates, Llc acts as a billing entity for following providers:
| Provider Name | Stephen Brady West |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1932173978
PECOS PAC ID: 5193812931
Enrollment ID: I20071026000129 |
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| Provider Name | Drew J Stoken |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1336113588
PECOS PAC ID: 3779500343
Enrollment ID: I20080401000830 |
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| Provider Name | Melvin E Wagner |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1013943950
PECOS PAC ID: 8022033760
Enrollment ID: I20140502001362 |
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| Provider Name | Tyler Crouse |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1881117570
PECOS PAC ID: 8921370172
Enrollment ID: I20170823000272 |
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| Provider Name | Alexandra L Oszustowicz |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1336662295
PECOS PAC ID: 4183996077
Enrollment ID: I20170828003513 |
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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. Stoken Wagner Ophthalmic Associates, Llc 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 |
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Stoken Wagner Ophthalmic Associates, Llc
338 Alexander Spring Rd,
Carlisle, PA 17015-9129
Ph: (717) 249-6337 | Stoken Wagner Ophthalmic Associates, Llc
338 Alexander Spring Rd,
Carlisle, PA 17015-9129
Ph: (717) 249-6337 |
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