John S Graves Od Pc is a medicare enrolled "Optometrist" provider in Standish, Michigan. Their current practice location is
105 N Grove St, Standish, Michigan. You can reach out to their office (for appointments etc.) via phone at
(989) 846-4197.
John S Graves Od Pc is licensed to practice in Michigan (license number 4901003143) and it also participates in the medicare program. John S Graves 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 1801257522.
Healthcare Provider's Profile
| Full Name | John S Graves Od Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 105 N Grove St, Standish, Michigan |
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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: 1801257522
- Provider Enumeration Date: 03/08/2016
- Last Update Date: 01/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 0941508477
- Enrollment ID: O20160415001157
Medical Identifiers
Medical identifiers for John S Graves Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801257522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901003143 (Michigan) | 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 S Graves Od Pc acts as a billing entity for following providers:
| Provider Name | John S Graves |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1801875521
PECOS PAC ID: 0749396919
Enrollment ID: I20110314000155 |
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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 S Graves 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 S Graves Od Pc
Po Box 576,
Standish, MI 48658-0576
Ph: (989) 846-4197 | John S Graves Od Pc
105 N Grove St,
Standish, MI 48658-2508
Ph: (989) 846-4197 |
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