Dr Edmond Hartley Thall, MD in Highland Heights, OH

Dr Edmond Hartley Thall, MD is a medicare enrolled "Ophthalmology" physician in Highland Heights, Ohio. His current practice location is 223 Grappa Farms Dr, Highland Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (231) 220-5369.

Dr Edmond Hartley Thall is licensed to practice in Pennsylvania (license number MD033759E) 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 1063475358.

Contact Information

	Dr Edmond Hartley Thall, MD
	223 Grappa Farms Dr, Highland Heights, OH 44143-3720
	(231) 220-5369
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Edmond Hartley Thall
Gender	Male
Speciality	Ophthalmology
Location	223 Grappa Farms Dr, Highland Heights, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063475358
Provider Enumeration Date: 04/09/2006
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3779482914
Enrollment ID: I20180426002931

Medical Identifiers

Medical identifiers for Dr Edmond Hartley Thall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063475358	NPI	-	NPPES
64432017	Medicaid	CO
127627104	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	42566 (Colorado)	Secondary
207W00000X	Ophthalmology	MD033759E (Pennsylvania)	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 Edmond Hartley Thall allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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 Edmond Hartley Thall 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 Edmond Hartley Thall, MD 223 Grappa Farms Dr, Highland Heights, OH 44143-3720 Ph: (231) 220-5369	Dr Edmond Hartley Thall, MD 223 Grappa Farms Dr, Highland Heights, OH 44143-3720 Ph: (231) 220-5369

Reviews and Comments

Ophthalmology Doctors in Highland Heights, OH

Dr. Douglas Phillips Webb, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 850 Brainard Rd, Highland Heights, OH 44143 Phone: 440-442-8329 Fax: 440-442-9088
Dr. Sangita Patel Mehta, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 850 Brainard Rd, Highland Heights, OH 44143 Phone: 440-442-8329 Fax: 440-442-9088

Dr Edmond Hartley Thall, MD - Medicare Ophthalmology in Highland Heights, OH