Mike Tannehill, OD is a medicare enrolled "Optometrist" provider in Mt Ida, Arkansas. He went to Southern College Of Optometry and graduated in 1975 and has 49 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Family Eye Care Of Russellville and his current practice location is
138 S George St, Mt Ida, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 867-2814.
Mike Tannehill is licensed to practice in Arkansas (license number 2190) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447307095.
Healthcare Provider's Profile
| Full Name | Mike Tannehill |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 49 Years |
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| Location | 138 S George St, Mt Ida, Arkansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Mike Tannehill attended and graduated from Southern College Of Optometry in 1975
NPI Data:
- NPI Number: 1447307095
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 08/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880888064
- Enrollment ID: I20101102000058
Medical Identifiers
Medical identifiers for Mike Tannehill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447307095 | NPI | - | NPPES |
| 103820722 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2190 (Arkansas) | 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 Tannehill allows following entities to bill medicare on his behalf.
| Provider Name | Family Eye Care Of Russellville |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326195181
PECOS PAC ID: 4082637814
Enrollment ID: O20060109000078 |
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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 Tannehill 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 |
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Mike Tannehill, OD
Po Box 215,
Mount Ida, AR 71957-9999
Ph: (870) 867-2814 | Mike Tannehill, OD
138 S George St,
Mt Ida, AR 71957-9999
Ph: (870) 867-2814 |
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