Dr John Mark Deboer, OD - Medicare Optometrist in Demotte, IN

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Dr John Mark Deboer, OD is a medicare enrolled "Optometrist" provider in Demotte, Indiana. He went to Illinois College Of Optometry At Chicago and graduated in 1990 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Aeg Indiana Professional Pc, Deboer Od Ltd and his current practice location is 609 N Halleck St, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 987-3673.

Dr John Mark Deboer is licensed to practice in Indiana (license number 18002449) 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 1770566556.

Contact Information

Dr John Mark Deboer, OD
609 N Halleck St,
Demotte, IN 46310-9545
(219) 987-3673
(219) 987-3905

Map and Direction




Healthcare Provider's Profile

Full NameDr John Mark Deboer
GenderMale
SpecialityOptometry
Experience36 Years
Location609 N Halleck St, Demotte, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Mark Deboer attended and graduated from Illinois College Of Optometry At Chicago in 1990
  NPI Data:
  • NPI Number: 1770566556
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 09/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0840229902
  • Enrollment ID: I20120201000663

Medical Identifiers

Medical identifiers for Dr John Mark Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770566556NPI-NPPES
200395230MedicaidIN
K48802OtherILMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18002449 (Indiana)Primary
152W00000XOptometrist 046-008335 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aeg Indiana Professional Pc236582617930
Deboer Od Ltd28604219223

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 Mark Deboer allows following entities to bill medicare on his behalf.
Provider NameDeboer OD Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972513653
PECOS PAC ID: 2860421922
Enrollment ID: O20050809000472
Provider NameAeg Indiana Professional PC
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043944127
PECOS PAC ID: 2365826179
Enrollment ID: O20220829000590

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 Mark Deboer 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 John Mark Deboer, OD
Po Box 849,
Demotte, IN 46310-0849

Ph: (219) 987-3673		Dr John Mark Deboer, OD
609 N Halleck St,
Demotte, IN 46310-9545

Ph: (219) 987-3673

Reviews and Comments


Optometrist in Demotte, IN

De Boer Family Eyecare
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    Fax: 219-987-3905
Deboer Family Eyecare
Optometrist
Medicare: Medicare Enrolled
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    
Dr. Gerrit H. Devries, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Halleck St, Demotte, IN 46310
Phone: 219-987-3673    Fax: 219-987-3905

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.