Mike Hassell, OD is a medicare enrolled "Optometrist" provider in Carthage, Tennessee. His current practice location is
605 Main St N, Carthage, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 735-2020.
Mike Hassell is licensed to practice in Tennessee (license number OD0000000889) 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 1528017050.
Healthcare Provider's Profile
| Full Name | Mike Hassell |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 605 Main St N, Carthage, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528017050
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 07/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 7113034638
- Enrollment ID: I20101026000959
Medical Identifiers
Medical identifiers for Mike Hassell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528017050 | NPI | - | NPPES |
| 3595240 | Medicaid | TN | |
| 0040299 | Other | TN | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD0000000889 (Tennessee) | 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. Mike Hassell allows following entities to bill medicare on his behalf.
| Provider Name | Politzer And Durocher Plc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396738720
PECOS PAC ID: 0840379921
Enrollment ID: O20090115000799 |
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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. Mike Hassell 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 |
|---|
Mike Hassell, OD
Po Box 116,
Carthage, TN 37030-0116
Ph: (615) 735-2020 | Mike Hassell, OD
605 Main St N,
Carthage, TN 37030-1211
Ph: (615) 735-2020 |
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