Dr Laura Cottam Dewitt, OD is a medicare enrolled "Optometrist" provider in Teec Nos Pos, Arizona. Her current practice location is
Us Hwy 190 And Navajo Route 35/red Mesa, Teec Nos Pos, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 656-5020.
Dr Laura Cottam Dewitt is licensed to practice in Pennsylvania (license number OEG000350) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407936578.
Healthcare Provider's Profile
| Full Name | Dr Laura Cottam Dewitt |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | Us Hwy 190 And Navajo Route 35/red Mesa, Teec Nos Pos, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407936578
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 09/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 8022172501
- Enrollment ID: I20110914000537
Medical Identifiers
Medical identifiers for Dr Laura Cottam Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407936578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OEG000350 (Pennsylvania) | 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 Laura Cottam Dewitt allows following entities to bill medicare on her behalf.
| Provider Name | Dhhs Phs Naihs Shiprock Hospital |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
|---|
| Provider Name | Pine Ridge Indian Health Service Hospital |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
|---|
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 Laura Cottam Dewitt 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 Laura Cottam Dewitt, OD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Dr Laura Cottam Dewitt, OD Us Hwy 190 And Navajo Route 35/red Mesa, Teec Nos Pos, AZ 86514 Ph: (928) 656-5020 |
Reviews and Comments