Dr Seth David Seidel, OD is a medicare enrolled "Optometrist" provider in Windsor Locks, Connecticut. His current practice location is
34 Main St, Windsor Locks, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 623-3727.
Dr Seth David Seidel is licensed to practice in Connecticut (license number 931) 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 1700969979.
Healthcare Provider's Profile
| Full Name | Dr Seth David Seidel |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 34 Main St, Windsor Locks, Connecticut |
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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: 1700969979
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 0749302594
- Enrollment ID: I20110221000585
Medical Identifiers
Medical identifiers for Dr Seth David Seidel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700969979 | NPI | - | NPPES |
| 004071825 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 931 (Connecticut) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 931 (Connecticut) | Secondary |
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 Seth David Seidel 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 Seth David Seidel, OD
34 Main St,
Windsor Locks, CT 06096-2326
Ph: (860) 623-3727 | Dr Seth David Seidel, OD
34 Main St,
Windsor Locks, CT 06096-2326
Ph: (860) 623-3727 |
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