Paul R Dewitt, OD is a medicare enrolled "Optometrist" provider in Teecnospos, Arizona. His current practice location is
Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 656-5000.
Paul R Dewitt is licensed to practice in Colorado (license number 2320) 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 1366474207.
Healthcare Provider's Profile
| Full Name | Paul R Dewitt |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366474207
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 12/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 2567447170
- Enrollment ID: I20040618001214
Medical Identifiers
Medical identifiers for Paul R Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366474207 | NPI | - | NPPES |
| 796063 | Medicaid | AZ | |
| 65837533 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 2320 (Colorado) | 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. Paul R Dewitt allows following entities to bill medicare on his behalf.
| Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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| Provider Name | Kayenta Alternative Rural Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
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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. Paul R Dewitt 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 |
Paul R Dewitt, OD Hc 61 Box 30, Teec Nos Pos, AZ 86514-9600 Ph: (928) 656-5000 | Paul R Dewitt, OD Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 Ph: (928) 656-5000 |
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