Robin Mevissen, OD is a medicare enrolled "Optometrist" provider in Poolesville, Maryland. Her current practice location is
20005 B Fisher Ave, Poolesville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 916-3214.
Robin Mevissen is licensed to practice in Maryland (license number TA1222) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164500864.
Healthcare Provider's Profile
| Full Name | Robin Mevissen |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 20005 B Fisher Ave, Poolesville, Maryland |
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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: 1164500864
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092819045
- Enrollment ID: I20110421000439
Medical Identifiers
Medical identifiers for Robin Mevissen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164500864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | TA1222 (Maryland) | Primary |
| 152W00000X | Optometrist | 0618000326 (Virginia) | Secondary |
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. Robin Mevissen allows following entities to bill medicare on her behalf.
| Provider Name | Poolesville Vision And Contact Lens Service |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114206943 PECOS PAC ID: 3678826179 Enrollment ID: O20181031000700 |
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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. Robin Mevissen 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 |
Robin Mevissen, OD 19739 Selby Ave, Poolesville, MD 20837-2408 Ph: (301) 916-3214 | Robin Mevissen, OD 20005 B Fisher Ave, Poolesville, MD 20837 Ph: (301) 916-3214 |
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