Robert Ray Baltierra, in Dexter, MI - Medicare Optometrist Provider

Robert Ray Baltierra, is a medicare enrolled "Optometrist" provider in Dexter, Michigan. His current practice location is 8089 Main St Ste 1, Dexter, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 424-9230.

Robert Ray Baltierra is licensed to practice in Michigan (license number 4901005154) 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 1013442094.

Contact Information

	Robert Ray Baltierra,
	8089 Main St Ste 1, Dexter, MI 48130-1079
	(734) 424-9230
	(734) 424-2576

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Ray Baltierra
Gender	Male
Speciality	Optometrist
Location	8089 Main St Ste 1, Dexter, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013442094
Provider Enumeration Date: 04/27/2017
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5395093264
Enrollment ID: I20180809000083

Medical Identifiers

Medical identifiers for Robert Ray Baltierra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013442094	NPI	-	NPPES
0C97655	Other	MI	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005154 (Michigan)	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. Robert Ray Baltierra allows following entities to bill medicare on his behalf.

Provider Name	Myeyedr Optometry Of Michigan, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048

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. Robert Ray Baltierra 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
Robert Ray Baltierra, 8089 Main St, Dexter, MI 48130-1079 Ph: (734) 424-9230	Robert Ray Baltierra, 8089 Main St Ste 1, Dexter, MI 48130-1079 Ph: (734) 424-9230

Reviews and Comments

Optometrist in Dexter, MI

Dexter Family Eye Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3045 Baker Rd, Dexter, MI 48130 Phone: 734-424-0097 Fax: 734-424-0097
Main Street Optometry, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8089 Main St, Suite 1, Dexter, MI 48130 Phone: 734-424-9230 Fax: 734-424-2576
Dr. Renee Lynn Laliberte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8089 Main St, Suite 1, Dexter, MI 48130 Phone: 734-424-9230
Dr. Kelly D Carrier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7200 Dan Hoey Rd Ste G, Dexter, MI 48130 Phone: 734-424-0097 Fax: 734-850-2009

Robert Ray Baltierra, - Medicare Optometrist in Dexter, MI