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

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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 NameMichael P Jacquemin
GenderMale
SpecialityOptometrist
Location12659 Riley St, Holland, Michigan
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1043376726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 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 NameRx Optical Laboratories Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497781868
PECOS PAC ID: 9335032267
Enrollment ID: O20040205000024
Provider NameMyeyedr Optometry Of Michigan, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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. 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    
Rx Optical
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 590 E 16th St Ste 20, Holland, MI 49423
Phone: 616-928-9640    Fax: 616-928-9641

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.