Dr Harold Lee Peltan, MD is a medicare enrolled "Ophthalmology" physician in Cleveland, Mississippi. His current practice location is
425b N Davis Ave, Cleveland, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 545-4600.
Dr Harold Lee Peltan is licensed to practice in Mississippi (license number 20927) 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 1801968011.
Physician's Profile
| Full Name | Dr Harold Lee Peltan |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 425b N Davis Ave, Cleveland, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801968011
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 11/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385613587
- Enrollment ID: I20100520000654
Medical Identifiers
Medical identifiers for Dr Harold Lee Peltan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801968011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 35-07-6780-P (Ohio) | Secondary |
| 207W00000X | Ophthalmology | MD-071663-L (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | 01049615A (Indiana) | Secondary |
| 207W00000X | Ophthalmology | 20927 (Mississippi) | 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. Dr Harold Lee Peltan allows following entities to bill medicare on his behalf.
| Entity Name | Peltan Eye Centers Of Mississippi, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639591613
PECOS PAC ID: 5395968572
Enrollment ID: O20140515000123 |
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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. Dr Harold Lee Peltan 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 |
|---|
Dr Harold Lee Peltan, MD
Po Box 1269,
Cleveland, MS 38732-1269
Ph: (662) 545-4600 | Dr Harold Lee Peltan, MD
425b N Davis Ave,
Cleveland, MS 38732-2351
Ph: (662) 545-4600 |
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