Dr Nicholas E Bem, OD is a medicare enrolled "Optometrist" provider in Cannon Afb, New Mexico. His current practice location is
27th Special Operations Medical Group, 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 904-3881.
Dr Nicholas E Bem is licensed to practice in Utah (license number 11106297-9934) 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 1164823142.
Healthcare Provider's Profile
Full Name | Dr Nicholas E Bem |
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Gender | Male |
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Speciality | Optometrist |
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Location | 27th Special Operations Medical Group, Cannon Afb, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164823142
- Provider Enumeration Date: 09/10/2014
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951523018
- Enrollment ID: I20141105002285
Medical Identifiers
Medical identifiers for Dr Nicholas E Bem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164823142 | NPI | - | NPPES |
11106297-9934 | Other | UT | STATE OF UTAH DEPARTMENT OF COMMERCE |
2376 | Other | NC | NC BOARD OF OPTOMETRY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 11106297-9934 (Utah) | 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 Nicholas E Bem allows following entities to bill medicare on his behalf.
Provider Name | Eyecarecenter Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1417973546 PECOS PAC ID: 7315834462 Enrollment ID: O20040318001780 |
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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 Nicholas E Bem 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 Nicholas E Bem, OD 27th Special Operations Medical Group, 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: () - | Dr Nicholas E Bem, OD 27th Special Operations Medical Group, 224 W D.l. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 904-3881 |
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