Dr John Jacob Daub Iv, OD in Rutherford, NJ - Medicare Optometrist Provider

Dr John Jacob Daub Iv, OD is a medicare enrolled "Optometrist" provider in Rutherford, New Jersey. His current practice location is 31 Park Ave, Rutherford, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 939-2463.

Dr John Jacob Daub Iv is licensed to practice in New Jersey (license number 27OA00674800) 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 1396254751.

Contact Information

	Dr John Jacob Daub Iv, OD
	31 Park Ave, Rutherford, NJ 07070-1711
	(201) 939-2463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Jacob Daub Iv
Gender	Male
Speciality	Optometrist
Location	31 Park Ave, Rutherford, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396254751
Provider Enumeration Date: 09/28/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4284964628
Enrollment ID: I20190926002960

Medical Identifiers

Medical identifiers for Dr John Jacob Daub Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396254751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	27OA00674800 (New Jersey)	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 John Jacob Daub Iv allows following entities to bill medicare on his behalf.

Provider Name	Dr. Robert Schorn Purnell Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972756757 PECOS PAC ID: 7113164757 Enrollment ID: O20130520000023

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 John Jacob Daub Iv 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 John Jacob Daub Iv, OD 31 Park Ave, Rutherford, NJ 07070-1711 Ph: (201) 939-2463	Dr John Jacob Daub Iv, OD 31 Park Ave, Rutherford, NJ 07070-1711 Ph: (201) 939-2463

Reviews and Comments

Optometrist in Rutherford, NJ

Marie R Levine Od Optometrist Medicare: Medicare Enrolled Practice Location: 33 Lincoln Ave, Rutherford, NJ 07070 Phone: 201-438-4418 Fax: 201-438-3082
Marie R Levine, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 33 Lincoln Ave, Rutherford, NJ 07070 Phone: 201-438-4418 Fax: 201-438-3082
Elena L. Monks, Od Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 35 Park Ave, Rutherford, NJ 07070 Phone: 201-728-9399 Fax: 201-728-9454
Invion Optics Optometrist Medicare: Not Enrolled in Medicare Practice Location: 35 Park Ave, Rutherford, NJ 07070 Phone: 201-728-9399 Fax: 201-728-9454
Dr. Robert Schorn Purnell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 31 Park Ave, Rutherford, NJ 07070 Phone: 201-939-2463 Fax: 201-939-1454
Dr. Anthony Rusignuolo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Franklin Pl, Rutherford, NJ 07070 Phone: 201-933-2576 Fax: 201-933-2602

Dr John Jacob Daub Iv, OD - Medicare Optometrist in Rutherford, NJ