Haley Nicole Rambo, OD in Salem, IL - Medicare Optometrist Provider

Haley Nicole Rambo, OD is a medicare enrolled "Optometrist" provider in Salem, Illinois. Her current practice location is 1103 W Main St, Salem, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 548-0100.

Haley Nicole Rambo is licensed to practice in Illinois (license number 046.011676) 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 1720716186.

Contact Information

	Haley Nicole Rambo, OD
	1103 W Main St, Salem, IL 62881-1307
	(618) 548-0100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Haley Nicole Rambo
Gender	Female
Speciality	Optometrist
Location	1103 W Main St, Salem, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720716186
Provider Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 7315322732
Enrollment ID: I20220920003287

Medical Identifiers

Medical identifiers for Haley Nicole Rambo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720716186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046.011676 (Illinois)	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. Haley Nicole Rambo allows following entities to bill medicare on her behalf.

Provider Name	Marion Eye Centers Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508865643 PECOS PAC ID: 3072426774 Enrollment ID: O20031125000609

Provider Name	Paul B Stauder
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902627979 PECOS PAC ID: 7810018314 Enrollment ID: O20241204004096

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. Haley Nicole Rambo 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
Haley Nicole Rambo, OD 1200 W Deyoung St, Marion, IL 62959-4437 Ph: (618) 993-5686	Haley Nicole Rambo, OD 1103 W Main St, Salem, IL 62881-1307 Ph: (618) 548-0100

Reviews and Comments

Optometrist in Salem, IL

Dr. Doris Ann Els, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 121 N Broadway, Salem, IL 62881 Phone: 618-548-4866 Fax: 618-548-4867
Julie K. Kueker, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1870 W Main St, Salem, IL 62881 Phone: 618-548-6590
Salem Eye Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 400 North Broadway, Salem, IL 62881 Phone: 618-548-3506 Fax: 618-548-2555
Mr. Alan D Montgomery, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 North Broadway, Salem, IL 62881 Phone: 618-548-3506 Fax: 618-548-2555
Julie K Kueker, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1870 W Main St, Salem, IL 62881 Phone: 618-548-6590
Elizabeth Wolff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 N Broadway Ave, Salem, IL 62881 Phone: 618-548-3506

Haley Nicole Rambo, OD - Medicare Optometrist in Salem, IL