Dr Ernest Michael Staehle, OD is a medicare enrolled "Optometrist" provider in Mountain Lakes, New Jersey. His current practice location is
80 Cobb Rd, Mountain Lakes, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(215) 873-7826.
Dr Ernest Michael Staehle is licensed to practice in Illinois (license number 046.010029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114189214.
Healthcare Provider's Profile
| Full Name | Dr Ernest Michael Staehle |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 80 Cobb Rd, Mountain Lakes, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114189214
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 06/30/2008
Medicare PECOS Information:
- PECOS PAC ID: 7517094782
- Enrollment ID: I20100420000272
Medical Identifiers
Medical identifiers for Dr Ernest Michael Staehle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114189214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046.010029 (Illinois) | Primary |
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 Ernest Michael Staehle allows following entities to bill medicare on his behalf.
| Provider Name | Charles M Cummins, Od, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598797722
PECOS PAC ID: 0446246995
Enrollment ID: O20040719000496 |
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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 Ernest Michael Staehle 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 Ernest Michael Staehle, OD
80 Cobb Rd,
Mountain Lakes, NJ 07046-1228
Ph: (215) 873-7826 | Dr Ernest Michael Staehle, OD
80 Cobb Rd,
Mountain Lakes, NJ 07046-1228
Ph: (215) 873-7826 |
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