Bethany Eye Center, Llc is a medicare enrolled "Optometrist" provider in Bethany, Missouri. Their current practice location is
2707 Miller St, Bethany, Missouri. You can reach out to their office (for appointments etc.) via phone at
(660) 425-8116.
Bethany Eye Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Bethany Eye Center, Llc
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 1245278753.
Healthcare Provider's Profile
| Full Name | Bethany Eye Center, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 2707 Miller St, Bethany, Missouri |
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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: 1245278753
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 12/18/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153397005
- Enrollment ID: O20040902000773
Medical Identifiers
Medical identifiers for Bethany Eye Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245278753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bethany Eye Center, Llc acts as a billing entity for following providers:
| Provider Name | Scott Dale Staatz |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1801810189
PECOS PAC ID: 6305812264
Enrollment ID: I20040902000808 |
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| Provider Name | Anthony Joseph Verachtert |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1417995069
PECOS PAC ID: 2264407170
Enrollment ID: I20040902000858 |
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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. Bethany Eye Center, Llc 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 |
|---|
Bethany Eye Center, Llc
2707 Miller St,
Bethany, MO 64424-2704
Ph: (660) 425-8116 | Bethany Eye Center, Llc
2707 Miller St,
Bethany, MO 64424-2704
Ph: (660) 425-8116 |
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