Grand Traverse Ophthalmology Clinic Pc - Medicare in Traverse City, MI

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Grand Traverse Ophthalmology Clinic Pc is a medicare enrolled "Ophthalmology" provider in Traverse City, Michigan. Their current practice location is 929 Business Park Dr, Traverse City, Michigan. You can reach out to their office (for appointments etc.) via phone at (231) 947-6246.

Grand Traverse Ophthalmology Clinic Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Grand Traverse Ophthalmology Clinic Pc 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 1265426514.

Contact Information

Grand Traverse Ophthalmology Clinic Pc
929 Business Park Dr,
Traverse City, MI 49686-8683
(231) 947-6246
(231) 947-8864

Map and Direction




Healthcare Provider's Profile

Full NameGrand Traverse Ophthalmology Clinic Pc
TypeFacility
SpecialityOphthalmology
Location929 Business Park Dr, Traverse City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265426514
  • Provider Enumeration Date: 09/01/2005
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981503521
  • Enrollment ID: O20040724000399

Medical Identifiers

Medical identifiers for Grand Traverse Ophthalmology Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265426514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grand Traverse Ophthalmology Clinic Pc acts as a billing entity for following providers:
Provider NameJennifer A Lintz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003992082
PECOS PAC ID: 7214912666
Enrollment ID: I20040630000779
Provider NameDaniel D Thuente
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720072069
PECOS PAC ID: 6305826645
Enrollment ID: I20040726000717
Provider NameJeffrey N Wentzloff
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508840273
PECOS PAC ID: 5890727705
Enrollment ID: I20060718000198
Provider NameRoseanna M David
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144293515
PECOS PAC ID: 4880744242
Enrollment ID: I20090608000051
Provider NameJulie P Ritter
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538130208
PECOS PAC ID: 9133262447
Enrollment ID: I20100209000636
Provider NameMatthew P Madion
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093709339
PECOS PAC ID: 3779482328
Enrollment ID: I20101111001430
Provider NamePetra C Vonkulajta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811981152
PECOS PAC ID: 2062311616
Enrollment ID: I20101111001475
Provider NamePeter J Sneed
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1902890247
PECOS PAC ID: 7214836865
Enrollment ID: I20101113000180
Provider NameJohn Ryan Mcmanus
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1447411277
PECOS PAC ID: 4981851219
Enrollment ID: I20130605000847
Provider NameShawn R Miller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902211295
PECOS PAC ID: 7214154335
Enrollment ID: I20150728004710
Provider NameMary L Boomer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1285256859
PECOS PAC ID: 5890118608
Enrollment ID: I20200713002712
Provider NameChristopher John Davis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184117640
PECOS PAC ID: 9931455938
Enrollment ID: I20220621000469
Provider NameGrace Marie Farrell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538695978
PECOS PAC ID: 6002154119
Enrollment ID: I20240426000683

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. Grand Traverse Ophthalmology Clinic Pc 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 AddressPractice Location Address
Grand Traverse Ophthalmology Clinic Pc
929 Business Park Dr,
Traverse City, MI 49686-8683

Ph: (231) 947-6246		Grand Traverse Ophthalmology Clinic Pc
929 Business Park Dr,
Traverse City, MI 49686-8683

Ph: (231) 947-6246

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.