Thaddeus Davis, OD in Pullman, WA - Medicare Optometrist Provider

Thaddeus Davis, OD is a medicare enrolled "Optometrist" provider in Pullman, Washington. His current practice location is 560 Se Bishop Blvd, Pullman, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 334-3300.

Thaddeus Davis is licensed to practice in Idaho (license number ODP-100630) 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 1568148039.

Contact Information

	Thaddeus Davis, OD
	560 Se Bishop Blvd, Pullman, WA 99163-5505
	(509) 334-3300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thaddeus Davis
Gender	Male
Speciality	Optometrist
Location	560 Se Bishop Blvd, Pullman, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568148039
Provider Enumeration Date: 06/27/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8123489408
Enrollment ID: I20230802003661

Medical Identifiers

Medical identifiers for Thaddeus Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568148039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ODP-100630 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thaddeus Davis allows following entities to bill medicare on his behalf.

Provider Name	Moscow Family Eye Care Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467885558 PECOS PAC ID: 8921235664 Enrollment ID: O20131230000311

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. Thaddeus Davis 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
Thaddeus Davis, OD 400 Sw Shirley St, Pullman, WA 99163-2731 Ph: (641) 208-5643	Thaddeus Davis, OD 560 Se Bishop Blvd, Pullman, WA 99163-5505 Ph: (509) 334-3300

Reviews and Comments

Optometrist in Pullman, WA

Eye And Wellness, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1690 Se Harvest Dr, Pullman, WA 99163 Phone: 509-334-2990
Family Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 560 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-334-3300 Fax: 509-334-7591
Dr. James P Devleming, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 238 E Main St, Pullman, WA 99163 Phone: 509-334-1131 Fax: 509-332-4062
Dr. Rachna Narula, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1125 Se Washington St, Pullman, WA 99164 Phone: 509-335-0360
Dr. Suzanne Denise Scott, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1045 N Grand Ave, Suite E, Pullman, WA 99163 Phone: 509-334-3610 Fax: 509-334-1462
Dr. Darin Lee Paulson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1045 N Grand Ave, Suite E, Pullman, WA 99163 Phone: 509-334-3610 Fax: 509-334-1462
Rolling Hills Eye Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1045 N Grand Ave Ste E, Pullman, WA 99163 Phone: 509-334-3610 Fax: 509-334-1436

Thaddeus Davis, OD - Medicare Optometrist in Pullman, WA