Dr Jeffrey David Wine, OD - Medicare Optometrist in Mesa, AZ

Dr Jeffrey David Wine, OD is a medicare enrolled "Optometrist" provider in Mesa, Arizona. He went to Ohio State University - College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyes On Site Pllc and his current practice location is 2826 E Baseline Rd Ste 101, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 626-8925.

Dr Jeffrey David Wine is licensed to practice in Arizona (license number 1544) 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 1609962323.

Contact Information

Dr Jeffrey David Wine, OD
2826 E Baseline Rd Ste 101,
Mesa, AZ 85204-7282
(480) 626-8925
(480) 704-4036

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeffrey David Wine
GenderMale
SpecialityOptometry
Experience18 Years
Location2826 E Baseline Rd Ste 101, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeffrey David Wine attended and graduated from Ohio State University - College Of Optometry in 2006
  NPI Data:
  • NPI Number: 1609962323
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 06/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749289619
  • Enrollment ID: I20061204000605

Medical Identifiers

Medical identifiers for Dr Jeffrey David Wine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609962323NPI-NPPES
145725MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1544 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eyes On Site Pllc37796592632

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. Dr Jeffrey David Wine allows following entities to bill medicare on his behalf.
Provider NameEyes On Site Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013163005
PECOS PAC ID: 3779659263
Enrollment ID: O20080908000127

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. Dr Jeffrey David Wine 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 AddressPractice Location Address
Dr Jeffrey David Wine, OD
2826 E Baseline Rd Ste 101,
Mesa, AZ 85204-7282

Ph: (480) 626-8925
Dr Jeffrey David Wine, OD
2826 E Baseline Rd Ste 101,
Mesa, AZ 85204-7282

Ph: (480) 626-8925

Reviews and Comments


Optometrist in Mesa, AZ

Dr. Fred Nmn Fisch, O.D.
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Phone: 480-834-6367    
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Phone: 480-333-6563    Fax: 480-333-6564
Eyes On Site Pllc
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Phone: 480-626-8925    Fax: 480-704-4036
Dr. Mark Peller, O.D.
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Phone: 480-325-6277    Fax: 480-325-6278
Dr. Dawn Michelle Martin, O.D
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Pearson Eyecare Group, Llc
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Phone: 480-345-7520    
Jordan Bluth, OD
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Practice Location: 1055 S Stapley Dr, Mesa, AZ 85204
Phone: 480-833-9100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.