Dr Amanda Leanne Moore-elcyzyn, OD in Benton, AR

Dr Amanda Leanne Moore-elcyzyn, OD is a medicare enrolled "Optometrist" provider in Benton, Arkansas. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Boise Vision Care, P.a. and her current practice location is 113 W Carpenter St, Benton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 778-2363.

Dr Amanda Leanne Moore-elcyzyn is licensed to practice in Idaho (license number ODP-100499) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780612499.

Contact Information

	Dr Amanda Leanne Moore-elcyzyn, OD
	113 W Carpenter St, Benton, AR 72015-3317
	(501) 778-2363
	(501) 778-5329

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amanda Leanne Moore-elcyzyn
Gender	Female
Speciality	Optometry
Experience	19 Years
Location	113 W Carpenter St, Benton, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amanda Leanne Moore-elcyzyn graduated from medical school in 2005

NPI Data:

NPI Number: 1780612499
Provider Enumeration Date: 06/29/2006
Last Update Date: 09/09/2020

Medicare PECOS Information:

PECOS PAC ID: 8224033352
Enrollment ID: I20200902003571

Medical Identifiers

Medical identifiers for Dr Amanda Leanne Moore-elcyzyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780612499	NPI	-	NPPES
49956	Other	AR	MEDICARE #
161893722	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2566 (Arkansas)	Secondary
152W00000X	Optometrist	ODP-100499 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boise Vision Care, P.a.	4284768656	3

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 Amanda Leanne Moore-elcyzyn allows following entities to bill medicare on her behalf.

Provider Name	Boise Vision Care, P.a.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134295116 PECOS PAC ID: 4284768656 Enrollment ID: O20100820000408

Provider Name	Ada Vision Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407869589 PECOS PAC ID: 0648178707 Enrollment ID: O20110317000191

Provider Name	Barber Town Eye Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811388796 PECOS PAC ID: 8527376235 Enrollment ID: O20150930000375

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 Amanda Leanne Moore-elcyzyn 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 Amanda Leanne Moore-elcyzyn, OD 1926 W State St, Boise, ID 83702-3957 Ph: (208) 336-2020	Dr Amanda Leanne Moore-elcyzyn, OD 113 W Carpenter St, Benton, AR 72015-3317 Ph: (501) 778-2363

Reviews and Comments

Optometrist in Benton, AR

Dr. Steele J Zierlein, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Carpenter St, Benton, AR 72015 Phone: 501-778-2363 Fax: 501-778-5329
Dr. Zachary Thomas Ford, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Carpenter St, Benton, AR 72015 Phone: 501-778-2363 Fax: 501-778-5329
Justin B. Franks O.d. P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 3016 Castle Valley Dr, Benton, AR 72019 Phone: 501-909-9665
Contact Lens Express Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3715 Wildflower Ln, Benton, AR 72015 Phone: 501-680-4903
Dr. Jennifer Zierlein, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Carpenter St, Benton, AR 72015 Phone: 501-778-2363 Fax: 501-778-5329
Dr. Creighton Alan Simmons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 W Carpenter St, Benton, AR 72015 Phone: 501-778-2363 Fax: 501-778-5329
Simmons Eye Care Clinic, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 113 W Carpenter St, Benton, AR 72015 Phone: 501-778-2363 Fax: 501-778-5329

Dr Amanda Leanne Moore-elcyzyn, OD - Medicare Optometrist in Benton, AR