Michael P Jacquemin, OD in Holland, MI - Medicare Optometrist Provider

Michael P Jacquemin, OD is a medicare enrolled "Optometrist" provider in Holland, Michigan. His current practice location is 12659 Riley St, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 399-1440.

Michael P Jacquemin is licensed to practice in Michigan (license number 4901004403) 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 1043376726.

Contact Information

	Michael P Jacquemin, OD
	12659 Riley St, Holland, MI 49424-9215
	(616) 399-1440
	(616) 399-2169

Map and Direction

Healthcare Provider's Profile

Full Name	Michael P Jacquemin
Gender	Male
Speciality	Optometrist
Location	12659 Riley St, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043376726
Provider Enumeration Date: 12/28/2006
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8628171659
Enrollment ID: I20070313000376

Medical Identifiers

Medical identifiers for Michael P Jacquemin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043376726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901004403 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael P Jacquemin allows following entities to bill medicare on his behalf.

Provider Name	Myeyedr Optometry Of Michigan, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048

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. Michael P Jacquemin 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
Michael P Jacquemin, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Michael P Jacquemin, OD 12659 Riley St, Holland, MI 49424-9215 Ph: (616) 399-1440

Reviews and Comments

Optometrist in Holland, MI

Dr. Kelly Borgman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 904 Washington Ave Ste 120, Holland, MI 49423 Phone: 616-796-9995
Dr. Daniel Patrick Dunn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2942 Pine Edge Ct, Holland, MI 49424 Phone: 616-393-0144 Fax: 616-393-0199
Family Eyecare Of Holland Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020
Dr. Dirk Schrotenboer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11971 James St, Holland, MI 49424 Phone: 616-395-0606 Fax: 616-395-0070
Dr. Tara Marie Oosterbaan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-2316 Fax: 616-396-0085
Dr. Gerald Kolk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020

Michael P Jacquemin, OD - Medicare Optometrist in Holland, MI