Palm Family Eyecare is a medicare enrolled "Optometrist" provider in Sutherlin, Oregon. Their current practice location is
145 Myrtle St, Suite 108, Sutherlin, Oregon. You can reach out to their office (for appointments etc.) via phone at
(541) 459-4333.
Palm Family Eyecare is licensed to practice in Oregon (license number 2872T) and it also participates in the medicare program. Palm Family Eyecare
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1407969322.
Healthcare Provider's Profile
| Full Name | Palm Family Eyecare |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 145 Myrtle St, Sutherlin, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407969322
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 01/24/2008
Medicare PECOS Information:
- PECOS PAC ID: 6507964467
- Enrollment ID: O20070531000343
Medical Identifiers
Medical identifiers for Palm Family Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407969322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2872T (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Palm Family Eyecare acts as a billing entity for following providers:
| Provider Name | Toby J Palm |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1366430936
PECOS PAC ID: 3375443260
Enrollment ID: I20061016000593 |
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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. Palm Family Eyecare 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 |
|---|
Palm Family Eyecare
145 Myrtle St, Suite 108,
Sutherlin, OR 97479-9113
Ph: (541) 459-4333 | Palm Family Eyecare
145 Myrtle St, Suite 108,
Sutherlin, OR 97479-9113
Ph: (541) 459-4333 |
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