Jason P Nolz, OD is a medicare enrolled "Optometrist" provider in Cannon Afb, New Mexico. His current practice location is
208 W Dl Ingram Ave, Cannon Afb, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 784-6608.
Jason P Nolz is licensed to practice in Montana (license number 627) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588678429.
Healthcare Provider's Profile
Full Name | Jason P Nolz |
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Gender | Male |
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Speciality | Optometrist |
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Location | 208 W Dl Ingram Ave, Cannon Afb, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588678429
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 10/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 2961728597
- Enrollment ID: I20150226000365
Medical Identifiers
Medical identifiers for Jason P Nolz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588678429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 627 (Montana) | Primary |
152W00000X | Optometrist | 2180 (Colorado) | Secondary |
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. Jason P Nolz 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 |
Jason P Nolz, OD 208 W Dl Ingram Ave, Cannon Afb, Clovis, NM 88103-5014 Ph: (575) 784-6608 | Jason P Nolz, OD 208 W Dl Ingram Ave, Cannon Afb, NM 88103-5014 Ph: (575) 784-6608 |
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