Dr Edmond Hartley Thall, MD is a medicare enrolled "Ophthalmology" physician in Highland Heights, Ohio. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1981 and has 45 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Vision Innovation Centers Of Pennsylvania Llc, Eye Clinic Of Nd and 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 North Dakota (license number LT23941) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063475358.
Physician's Profile
| Full Name | Dr Edmond Hartley Thall |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Experience | 45 Years |
|---|
| Location | 223 Grappa Farms Dr, Highland Heights, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Edmond Hartley Thall attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1981
NPI Data:
- NPI Number: 1063475358
- Provider Enumeration Date: 04/09/2006
- Last Update Date: 03/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779482914
- Enrollment ID: I20241118003801
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 | LT23941 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vision Innovation Centers Of Pennsylvania Llc | 0840625349 | 85 |
| Eye Clinic Of Nd | 3274511423 | 6 |
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 | Erie Retinal Surgery, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1457313868
PECOS PAC ID: 0941286595
Enrollment ID: O20040625000176 |
|---|
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