John M. Ippolito, Od, Pc is a medicare enrolled "Optometrist" provider in Stirling, New Jersey. Their current practice location is
1107 Valley Rd, Suite 3, Stirling, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(908) 580-2555.
John M. Ippolito, Od, Pc is licensed to practice in New Jersey (license number 27OA00542600) and it also participates in the medicare program. John M. Ippolito, Od, 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 1649391764.
Healthcare Provider's Profile
| Full Name | John M. Ippolito, Od, Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1107 Valley Rd, Stirling, New Jersey |
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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: 1649391764
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 02/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 7315013927
- Enrollment ID: O20080905000190
Medical Identifiers
Medical identifiers for John M. Ippolito, Od, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649391764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 27OA00542600 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
John M. Ippolito, Od, Pc acts as a billing entity for following providers:
| Provider Name | John Ippolito |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1447292586
PECOS PAC ID: 1456389741
Enrollment ID: I20050728000428 |
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| Provider Name | Lillian Fasman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1780066506
PECOS PAC ID: 1254646110
Enrollment ID: I20150820012191 |
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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. John M. Ippolito, Od, 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 Address | Practice Location Address |
|---|
John M. Ippolito, Od, Pc
1107 Valley Rd, Suite 3,
Stirling, NJ 07980-1524
Ph: (908) 580-2555 | John M. Ippolito, Od, Pc
1107 Valley Rd, Suite 3,
Stirling, NJ 07980-1524
Ph: (908) 580-2555 |
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