Berthoud Vision For Life is a medicare enrolled "Optometrist" provider in Berthoud, Colorado. Their current practice location is
1211 Lake Ave Ste 102, Berthoud, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 532-5605.
Berthoud Vision For Life is licensed to practice in Colorado (license number OPT-1026) and it also participates in the medicare program. Berthoud Vision For Life
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1568589505.
Healthcare Provider's Profile
| Full Name | Berthoud Vision For Life |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1211 Lake Ave Ste 102, Berthoud, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568589505
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 02/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 1557307436
- Enrollment ID: O20050630000484
Medical Identifiers
Medical identifiers for Berthoud Vision For Life such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568589505 | NPI | - | NPPES |
| 63821371 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT-1026 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Berthoud Vision For Life acts as a billing entity for following providers:
| Provider Name | William R Eland |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1811088495
PECOS PAC ID: 9133109044
Enrollment ID: I20040721001682 |
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| Provider Name | Corey D Pratt |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1598940777
PECOS PAC ID: 9032498894
Enrollment ID: I20161118000079 |
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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. Berthoud Vision For Life 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 |
|---|
Berthoud Vision For Life
1211 Lake Ave Ste 102,
Berthoud, CO 80513-9381
Ph: (970) 532-5605 | Berthoud Vision For Life
1211 Lake Ave Ste 102,
Berthoud, CO 80513-9381
Ph: (970) 532-5605 |
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