Dr Michelle D Spray, OD is a medicare enrolled "Optometrist" provider in Bonne Terre, Missouri. Her current practice location is
70 E School St, Bonne Terre, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 358-4148.
Dr Michelle D Spray is licensed to practice in Missouri (license number TO3239) 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 1275541302.
Healthcare Provider's Profile
| Full Name | Dr Michelle D Spray |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 70 E School St, Bonne Terre, Missouri |
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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: 1275541302
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 01/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 0648284471
- Enrollment ID: I20060202000000
Medical Identifiers
Medical identifiers for Dr Michelle D Spray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275541302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TO3239 (Missouri) | 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 Michelle D Spray allows following entities to bill medicare on her behalf.
| Provider Name | Complete Vision Care Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497895908
PECOS PAC ID: 4981737095
Enrollment ID: O20100726000851 |
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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 Michelle D Spray 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 Michelle D Spray, OD
70 E School St, P.o. Box 446,
Bonne Terre, MO 63628-1722
Ph: (573) 358-4148 | Dr Michelle D Spray, OD
70 E School St,
Bonne Terre, MO 63628-1722
Ph: (573) 358-4148 |
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