Dr Jeffrey Scott Mootz, OD is a medicare enrolled "Optometrist" provider in Le Sueur, Minnesota. His current practice location is
303 Valley Green Square, Le Sueur, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 665-3366.
Dr Jeffrey Scott Mootz is licensed to practice in Minnesota (license number 2097) 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 1417037730.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Scott Mootz |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 303 Valley Green Square, Le Sueur, Minnesota |
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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: 1417037730
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698813681
- Enrollment ID: I20091111000746
Medical Identifiers
Medical identifiers for Dr Jeffrey Scott Mootz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417037730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2097 (Minnesota) | 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 Jeffrey Scott Mootz allows following entities to bill medicare on his behalf.
| Provider Name | Mootz Eye Clinic Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932268257
PECOS PAC ID: 9234277229
Enrollment ID: O20091111000749 |
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| Provider Name | Le Sueur Eyecare Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932268257
PECOS PAC ID: 9032586193
Enrollment ID: O20230509002485 |
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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 Jeffrey Scott Mootz 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 Jeffrey Scott Mootz, OD
303 Valley Green Square,
Le Sueur, MN 56058
Ph: (507) 665-3366 | Dr Jeffrey Scott Mootz, OD
303 Valley Green Square,
Le Sueur, MN 56058
Ph: (507) 665-3366 |
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