Mr Gregory Lynn Coburn, OD - Medicare Optometrist in Columbus, OH

Mr Gregory Lynn Coburn, OD is a medicare enrolled "Optometrist" provider in Columbus, Ohio. His current practice location is 4864 W Broad Street, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 878-7771.

Mr Gregory Lynn Coburn is licensed to practice in Ohio (license number 3597) 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 1790704849.

Contact Information

Mr Gregory Lynn Coburn, OD
4864 W Broad Street,
Columbus, OH 43228-1602
(614) 878-7771
(614) 878-4000

Map and Direction




Healthcare Provider's Profile

Full NameMr Gregory Lynn Coburn
GenderMale
SpecialityOptometrist
Location4864 W Broad Street, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790704849
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274517677
  • Enrollment ID: I20040615000077

Medical Identifiers

Medical identifiers for Mr Gregory Lynn Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790704849NPI-NPPES
0727057MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3597 (Ohio)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. Mr Gregory Lynn Coburn allows following entities to bill medicare on his behalf.
Provider NameDr Mark H Rinkov Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508979386
PECOS PAC ID: 6406837632
Enrollment ID: O20040525001060
Provider NameClarkson Optometry Midwest Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073917597
PECOS PAC ID: 0749504165
Enrollment ID: O20150113001118

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. Mr Gregory Lynn Coburn 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
Mr Gregory Lynn Coburn, OD
81 E Gay Street,
Columbus, OH 43215-3103

Ph: (614) 224-2414
Mr Gregory Lynn Coburn, OD
4864 W Broad Street,
Columbus, OH 43228-1602

Ph: (614) 878-7771

Reviews and Comments


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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.