Dr Austin David Potter, OD is a medicare enrolled "Optometrist" provider in Mc Cordsville, Indiana. He went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. He is a member of the group practice City Optical Co Inc, Potter Family Eye Care, Llc and his current practice location is
5953 W Broadway, Mc Cordsville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 747-9263.
Dr Austin David Potter is licensed to practice in Indiana (license number 18003358A) 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 1508870742.
Healthcare Provider's Profile
| Full Name | Dr Austin David Potter |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 19 Years |
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| Location | 5953 W Broadway, Mc Cordsville, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Austin David Potter attended and graduated from Indiana University School Of Medicine in 2005
NPI Data:
- NPI Number: 1508870742
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 09/23/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062597941
- Enrollment ID: I20080318000045
Medical Identifiers
Medical identifiers for Dr Austin David Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508870742 | NPI | - | NPPES |
| 000000502302 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 18003358A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Optical Co Inc | 5597668574 | 38 |
| Potter Family Eye Care, Llc | 1850578360 | 2 |
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 Austin David Potter allows following entities to bill medicare on his behalf.
| Provider Name | City Optical Co Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003805185
PECOS PAC ID: 5597668574
Enrollment ID: O20040128000867 |
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| Provider Name | Potter Family Eye Care, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801198510
PECOS PAC ID: 1850578360
Enrollment ID: O20110610000062 |
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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. Dr Austin David Potter 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 |
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Dr Austin David Potter, OD
3632 S Cedar Creek Ln,
New Palestine, IN 46163-8719
Ph: (317) 753-8852 | Dr Austin David Potter, OD
5953 W Broadway,
Mc Cordsville, IN 46055-9355
Ph: (317) 747-9263 |
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