Leah Lentz Herron, OD is a medicare enrolled "Optometrist" provider in Fernandina, Florida. She went to Southern College Of Optometry and graduated in 2016 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Russell Stackhouse Md Pa, Russell Stackhouse Md Pa and her current practice location is
6 S 14th St, Fernandina, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 261-5741.
Leah Lentz Herron is licensed to practice in Florida (license number 5332) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174972111.
Healthcare Provider's Profile
| Full Name | Leah Lentz Herron |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 6 S 14th St, Fernandina, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leah Lentz Herron attended and graduated from Southern College Of Optometry in 2016
NPI Data:
- NPI Number: 1174972111
- Provider Enumeration Date: 06/09/2016
- Last Update Date: 01/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082907746
- Enrollment ID: I20160719001236
Medical Identifiers
Medical identifiers for Leah Lentz Herron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174972111 | NPI | - | NPPES |
| 14TH | Other | | BUSINESS ADRESS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT002938 (Georgia) | Secondary |
| 152W00000X | Optometrist | 5332 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Russell Stackhouse Md Pa | 9133473325 | 14 |
| Russell Stackhouse Md Pa | 9133473325 | 14 |
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. Leah Lentz Herron allows following entities to bill medicare on her behalf.
| Provider Name | Eyecontact Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407054232
PECOS PAC ID: 2264526649
Enrollment ID: O20070915000233 |
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| Provider Name | Russell Stackhouse Md Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538655014
PECOS PAC ID: 9133473325
Enrollment ID: O20200122001607 |
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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. Leah Lentz Herron 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 |
|---|
Leah Lentz Herron, OD
6 S 14th St,
Fernandina, FL 32034-3212
Ph: (904) 261-5741 | Leah Lentz Herron, OD
6 S 14th St,
Fernandina, FL 32034
Ph: (904) 261-5741 |
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