Jacob Mittelstaedt, OD in Haines City, FL - Medicare Optometry Provider

Jacob Mittelstaedt, OD is a medicare enrolled "Optometrist" provider in Haines City, Florida. He went to New England College Of Optometry and graduated in 2021 and has 5 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Sevigny And Associates Eye Care, Pa and his current practice location is 119 Patterson Rd, Haines City, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 421-2700.

Jacob Mittelstaedt is licensed to practice in Florida (license number OPC6190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861062176.

Contact Information

	Jacob Mittelstaedt, OD
	119 Patterson Rd, Haines City, FL 33844-7803
	(863) 421-2700
	(863) 421-7629

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Mittelstaedt
Gender	Male
Speciality	Optometry
Experience	5 Years
Location	119 Patterson Rd, Haines City, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Mittelstaedt attended and graduated from New England College Of Optometry in 2021

NPI Data:

NPI Number: 1861062176
Provider Enumeration Date: 06/29/2021
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8527462696
Enrollment ID: I20230324001286

Medical Identifiers

Medical identifiers for Jacob Mittelstaedt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861062176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0003685 (Colorado)	Secondary
152W00000X	Optometrist	OPC6190 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sevigny And Associates Eye Care, Pa	3173667110	9

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. Jacob Mittelstaedt allows following entities to bill medicare on his behalf.

Provider Name	Sevigny & Associates Eye Care, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649427543 PECOS PAC ID: 3173667110 Enrollment ID: O20100215000559

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. Jacob Mittelstaedt 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
Jacob Mittelstaedt, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899	Jacob Mittelstaedt, OD 119 Patterson Rd, Haines City, FL 33844-7803 Ph: (863) 421-2700

Reviews and Comments

Optometrist in Haines City, FL

Central Florida Health Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 705 Ingraham Ave, Haines City, FL 33844 Phone: 863-438-6900
Myeyedr. Optometry Of Florida, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 119 Patterson Rd, Haines City, FL 33844 Phone: 863-421-2700
Dr. Tisha Cabatana, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 119 Patterson Rd, Haines City, FL 33844 Phone: 863-419-1300
Dr. Barbara S Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 705 Ingraham Ave, Haines City, FL 33844 Phone: 866-234-8534
Madison Lessard Latreille, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 119 Patterson Rd, Haines City, FL 33844 Phone: 863-421-2700
Phillips, Salomon & Parrish, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 119 Patterson Rd, Haines City, FL 33844 Phone: 863-419-1300 Fax: 863-595-2838
Eye Express, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 119 Patterson Rd., Haines City, FL 33844 Phone: 863-419-1300 Fax: 863-421-3473

Jacob Mittelstaedt, OD - Medicare Optometrist in Haines City, FL