Eye M D Ophthalmology Pllc is a medicare enrolled "Ophthalmology" provider in Tullahoma, Tennessee. Their current practice location is
926 N Jackson St, Tullahoma, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(931) 393-6004.
Eye M D Ophthalmology Pllc is licensed to practice in Tennessee (license number TN MD18870) and it also participates in the medicare program. Eye M D Ophthalmology Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407984396.
Healthcare Provider's Profile
| Full Name | Eye M D Ophthalmology Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 926 N Jackson St, Tullahoma, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407984396
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 08/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 1052460060
- Enrollment ID: O20090521000637
Medical Identifiers
Medical identifiers for Eye M D Ophthalmology Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407984396 | NPI | - | NPPES |
| 3711455 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TN-OD-T394 (Tennessee) | Secondary |
| 207W00000X | Ophthalmology | TN MD 9867 (Tennessee) | Secondary |
| 207W00000X | Ophthalmology | TN MD18870 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye M D Ophthalmology Pllc acts as a billing entity for following providers:
| Provider Name | Ben B Mahan |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1881690311
PECOS PAC ID: 3870543499
Enrollment ID: I20050131000826 |
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| Provider Name | Sandra T Duckworth |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1427212216
PECOS PAC ID: 4789744962
Enrollment ID: I20110119000401 |
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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. Eye M D Ophthalmology Pllc 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 |
|---|
Eye M D Ophthalmology Pllc
926 N Jackson St,
Tullahoma, TN 37388-2300
Ph: (931) 393-6004 | Eye M D Ophthalmology Pllc
926 N Jackson St,
Tullahoma, TN 37388-2300
Ph: (931) 393-6004 |
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