Dr Jackelleyn Renee Mudd, OD - Medicare Optometrist in Bowling Green, MO

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Dr Jackelleyn Renee Mudd, OD is a medicare enrolled "Optometrist" provider in Bowling Green, Missouri. She went to Indiana University - School Of Optometry and graduated in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Advanced Eyecare Of Winfield Llc and her current practice location is 1310 S Business 61, Bowling Green, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 324-3131.

Dr Jackelleyn Renee Mudd is licensed to practice in Missouri (license number 2017017079) 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 1609305580.

Contact Information

Dr Jackelleyn Renee Mudd, OD
1310 S Business 61,
Bowling Green, MO 63334-5221
(573) 324-3131
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jackelleyn Renee Mudd
GenderFemale
SpecialityOptometry
Experience7 Years
Location1310 S Business 61, Bowling Green, Missouri
Accepts Medicare AssignmentsYes. 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 Jackelleyn Renee Mudd attended and graduated from Indiana University - School Of Optometry in 2017
  NPI Data:
  • NPI Number: 1609305580
  • Provider Enumeration Date: 06/05/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688948979
  • Enrollment ID: I20170926001180

Medical Identifiers

Medical identifiers for Dr Jackelleyn Renee Mudd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609305580NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2017017079 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Eyecare Of Winfield Llc57998616393

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 Jackelleyn Renee Mudd allows following entities to bill medicare on her behalf.
Provider NameDenise M Harvey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265473383
PECOS PAC ID: 8729181698
Enrollment ID: I20070518000268
Provider NameAdvanced Eyecare Of Winfield Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053599472
PECOS PAC ID: 5799861639
Enrollment ID: O20080318000661

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 Jackelleyn Renee Mudd 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 AddressPractice Location Address
Dr Jackelleyn Renee Mudd, OD
4366 Highway H,
Silex, MO 63377-2256

Ph: (636) 485-7788		Dr Jackelleyn Renee Mudd, OD
1310 S Business 61,
Bowling Green, MO 63334-5221

Ph: (573) 324-3131

Reviews and Comments


Optometrist in Bowling Green, MO

Dr. Denise M Harvey, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1420 S Business 61 Ste F, Bowling Green, MO 63334
Phone: 573-324-3131    Fax: 573-324-6817
James Collins, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1004 S Business 61, Bowling Green, MO 63334
Phone: 573-324-3385    
Bowling Green Eyecare Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1420 S Business 61, Suite F, Bowling Green, MO 63334
Phone: 573-324-3131    Fax: 573-324-6817

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.