Mrs Michelle Renee Durham, OD in Lacey, WA - Medicare Optometry Provider

Mrs Michelle Renee Durham, OD is a medicare enrolled "Optometrist" provider in Lacey, Washington. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Hawk's Prairie Vision Clinic Ps and her current practice location is 2539 Marvin Rd Ne, Suite B, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 459-3335.

Mrs Michelle Renee Durham is licensed to practice in Washington (license number OD60798589) 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 1023287067.

Contact Information

	Mrs Michelle Renee Durham, OD
	2539 Marvin Rd Ne, Suite B, Lacey, WA 98516
	(360) 459-3335
	(360) 459-2724

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Michelle Renee Durham
Gender	Female
Speciality	Optometry
Experience	19 Years
Location	2539 Marvin Rd Ne, Lacey, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Michelle Renee Durham graduated from medical school in 2005

NPI Data:

NPI Number: 1023287067
Provider Enumeration Date: 02/25/2008
Last Update Date: 11/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3274710165
Enrollment ID: I20180313002499

Medical Identifiers

Medical identifiers for Mrs Michelle Renee Durham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023287067	NPI	-	NPPES
2098744	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2639 (Arkansas)	Secondary
152W00000X	Optometrist	764 (Hawaii)	Secondary
152W00000X	Optometrist	2005035713 (Missouri)	Secondary
152W00000X	Optometrist	OD60798589 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hawk's Prairie Vision Clinic Ps	4385534866	2

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. Mrs Michelle Renee Durham allows following entities to bill medicare on her behalf.

Provider Name	Hawk's Prairie Vision Clinic Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952583536 PECOS PAC ID: 4385534866 Enrollment ID: O20040318000208

Provider Name	Aeg Washington Professional Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134835176 PECOS PAC ID: 3476927997 Enrollment ID: O20230324001321

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. Mrs Michelle Renee Durham 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
Mrs Michelle Renee Durham, OD 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Ph: (360) 459-3335	Mrs Michelle Renee Durham, OD 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Ph: (360) 459-3335

Reviews and Comments

Optometrist in Lacey, WA

Shopko Optical 113 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 Martin Way E, Lacey, WA 98516 Phone: 360-456-4532
Dr. Carrie Leann Watters, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2539 Marvin Rd. Ne Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724
Dane Tosland, Optometrist Medicare: Medicare Enrolled Practice Location: 5321 Corporate Center Loop Se, Lacey, WA 98503 Phone: 360-459-2108
Dr. Joseph W Glandon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 Galaxy Dr Ne, Lacey, WA 98516 Phone: 360-456-7867
Aron Piranio, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724
Mrs. Constance Howe, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 Phone: 360-459-3333 Fax: 360-459-2724

Mrs Michelle Renee Durham, OD - Medicare Optometrist in Lacey, WA