Premiere Eye Associates, P.c. is a medicare enrolled "Ophthalmology" provider in Crystal City, Missouri. Their current practice location is
1400 Hwy 61 South, Suite 130, Crystal City, Missouri. You can reach out to their office (for appointments etc.) via phone at
(636) 937-8855.
Premiere Eye Associates, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Premiere Eye Associates, P.c.
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 1740201482.
Healthcare Provider's Profile
| Full Name | Premiere Eye Associates, P.c. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1400 Hwy 61 South, Crystal City, Missouri |
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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: 1740201482
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 11/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991741274
- Enrollment ID: O20050708000289
Medical Identifiers
Medical identifiers for Premiere Eye Associates, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740201482 | NPI | - | NPPES |
| 0695040001 | Other | MO | NORIDIAN DME MAC |
| CN1852 | Other | MO | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Premiere Eye Associates, P.c. acts as a billing entity for following providers:
| Provider Name | Randall E Nacke |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1093828782
PECOS PAC ID: 2567561194
Enrollment ID: I20070622000449 |
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| Provider Name | Humeyra D Karacal |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1144316944
PECOS PAC ID: 4587764808
Enrollment ID: I20070716000091 |
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| Provider Name | Bradford Blaine Kesler |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1548269954
PECOS PAC ID: 6608079041
Enrollment ID: I20110420000123 |
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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. Premiere Eye Associates, P.c. 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 |
|---|
Premiere Eye Associates, P.c.
Po Box 13,
Crystal City, MO 63019-0013
Ph: (636) 937-8855 | Premiere Eye Associates, P.c.
1400 Hwy 61 South, Suite 130,
Crystal City, MO 63019
Ph: (636) 937-8855 |
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