Takle Eye Group is a medicare enrolled "Ophthalmology" provider in Griffin, Georgia. Their current practice location is
646 S 8th St, Griffin, Georgia. You can reach out to their office (for appointments etc.) via phone at
(770) 228-3836.
Takle Eye Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Takle Eye Group
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 1568665404.
Healthcare Provider's Profile
| Full Name | Takle Eye Group |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 646 S 8th St, Griffin, Georgia |
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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: 1568665404
- Provider Enumeration Date: 06/07/2007
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062400286
- Enrollment ID: O20040505000509
Medical Identifiers
Medical identifiers for Takle Eye Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568665404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Takle Eye Group acts as a billing entity for following providers:
| Provider Name | Leiv M Takle |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1609807445
PECOS PAC ID: 7719990134
Enrollment ID: I20060801000022 |
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| Provider Name | Ruchi P Gandhi |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1306214655
PECOS PAC ID: 3173827524
Enrollment ID: I20160802002917 |
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| Provider Name | Andrew David Coggin |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1518307081
PECOS PAC ID: 7719372960
Enrollment ID: I20220324002423 |
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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. Takle Eye Group 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 |
|---|
Takle Eye Group
646 S 8th St,
Griffin, GA 30224-4214
Ph: (770) 228-3836 | Takle Eye Group
646 S 8th St,
Griffin, GA 30224-4214
Ph: (770) 228-3836 |
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