Dr Richard C Annis Iii, OD is a medicare enrolled "Optometrist" provider in Douglas, Michigan. His current practice location is
114 Blue Star Highway, Douglas, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 857-2020.
Dr Richard C Annis Iii is licensed to practice in Michigan (license number 4901003075) 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 1043270390.
Healthcare Provider's Profile
| Full Name | Dr Richard C Annis Iii |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 114 Blue Star Highway, Douglas, Michigan |
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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: 1043270390
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012922677
- Enrollment ID: I20060217000597
Medical Identifiers
Medical identifiers for Dr Richard C Annis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043270390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 4901003075 (Michigan) | 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 Richard C Annis Iii allows following entities to bill medicare on his behalf.
| Provider Name | Richard C Annis Od Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053583476 PECOS PAC ID: 6305851965 Enrollment ID: O20060217000554 |
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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 Richard C Annis Iii 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 Richard C Annis Iii, OD Po Box 280, Douglas, MI 49406-0280 Ph: (269) 857-2020 | Dr Richard C Annis Iii, OD 114 Blue Star Highway, Douglas, MI 49406-0280 Ph: (269) 857-2020 |
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