Ellen G Pruneau, in Marysville, OH - Medicare Optometrist Provider

Ellen G Pruneau, is a medicare enrolled "Optometrist" provider in Marysville, Ohio. Her current practice location is 1550 London Ave, Marysville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 553-2020.

Ellen G Pruneau is licensed to practice in Ohio (license number OPT.007079) 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 1710625223.

Contact Information

	Ellen G Pruneau,
	1550 London Ave, Marysville, OH 43040-8988
	(937) 553-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen G Pruneau
Gender	Female
Speciality	Optometrist
Location	1550 London Ave, Marysville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710625223
Provider Enumeration Date: 05/24/2022
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5294118915
Enrollment ID: I20220812002432

Medical Identifiers

Medical identifiers for Ellen G Pruneau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710625223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT.007079 (Ohio)	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. Ellen G Pruneau allows following entities to bill medicare on her behalf.

Provider Name	Agnone Morrison And Associates Eye Physicians And Surgeons Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174607733 PECOS PAC ID: 0648234948 Enrollment ID: O20041116001107

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. Ellen G Pruneau 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
Ellen G Pruneau, 1550 London Ave, Marysville, OH 43040-8988 Ph: () -	Ellen G Pruneau, 1550 London Ave, Marysville, OH 43040-8988 Ph: (937) 553-2020

Reviews and Comments

Optometrist in Marysville, OH

Dr. Shannon Davidson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 W Fifth St, Marysville, OH 43040 Phone: 937-644-8637 Fax: 937-644-8653
Shimul Y Shah, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 122 N Main St, Marysville, OH 43040 Phone: 937-642-1300 Fax: 937-642-0101
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 459 Colemans Xing, Marysville, OH 43040 Phone: 937-553-6287
Dr. Serafima Petrenko, OD, MS Optometrist Medicare: Medicare Enrolled Practice Location: 1001 W 5th St, Marysville, OH 43040 Phone: 937-644-8637
Matthew Steven Thompson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 W Fifth St, Marysville, OH 43040 Phone: 937-644-8637 Fax: 937-644-8653
Ohio Penal Industries Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1479 Collins Ave, Marysville, OH 43040 Phone: 937-707-2289
Thomas J Shoemaker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 122 N Main St, Marysville, OH 43040 Phone: 934-642-1300 Fax: 937-642-0101

Ellen G Pruneau, - Medicare Optometrist in Marysville, OH