Dr Micah Dray Brienen, OD is a medicare enrolled "Optometrist" provider in North Fort Myers, Florida. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice St Michaels Eye And Laser Institute Inc and his current practice location is
17966 N Tamiami Trl # 160, North Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 543-3336.
Dr Micah Dray Brienen is licensed to practice in Florida (license number OPC 4003) 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 1770527525.
Healthcare Provider's Profile
| Full Name | Dr Micah Dray Brienen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 21 Years |
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| Location | 17966 N Tamiami Trl # 160, North Fort Myers, Florida |
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| Accepts Medicare Assignments | Yes. 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 Micah Dray Brienen graduated from medical school in 2005
NPI Data:
- NPI Number: 1770527525
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 01/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 8921011461
- Enrollment ID: I20060822000504
Medical Identifiers
Medical identifiers for Dr Micah Dray Brienen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770527525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | OPC 4003 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Michaels Eye And Laser Institute Inc | 6204806201 | 4 |
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 Micah Dray Brienen allows following entities to bill medicare on his behalf.
| Provider Name | St Michaels Eye & Laser Institute Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598726325 PECOS PAC ID: 6204806201 Enrollment ID: O20040728000198 |
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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 Micah Dray Brienen 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 Micah Dray Brienen, OD 4101 Evans Ave, Fort Myers, FL 33901-9310 Ph: (239) 335-1944 | Dr Micah Dray Brienen, OD 17966 N Tamiami Trl # 160, North Fort Myers, FL 33903-1414 Ph: (239) 543-3336 |
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