West Dawn Llc is a medicare enrolled "Optometrist" provider in Paul, Idaho. Their current practice location is
218 East Ellis Street, Paul, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 629-6173.
West Dawn Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. West Dawn Llc
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 1790529030.
Healthcare Provider's Profile
| Full Name | West Dawn Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 218 East Ellis Street, Paul, Idaho |
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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: 1790529030
- Provider Enumeration Date: 06/21/2024
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305384579
- Enrollment ID: O20240819003540
Medical Identifiers
Medical identifiers for West Dawn Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790529030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
West Dawn Llc acts as a billing entity for following providers:
| Provider Name | Eric Woodward |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1114410305
PECOS PAC ID: 5698021723
Enrollment ID: I20200203002561 |
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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. West Dawn Llc 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 |
|---|
West Dawn Llc
Po Box 182,
Paul, ID 83347-0182
Ph: () - | West Dawn Llc
218 East Ellis Street,
Paul, ID 83347
Ph: (208) 629-6173 |
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