Dr Ryan Scott Thoele, OD is a medicare enrolled "Optometrist" provider in Mt Zion, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2011 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Christina J. Levi O D P C. and his current practice location is
1505 W Main St, Mt Zion, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 864-3221.
Dr Ryan Scott Thoele is licensed to practice in Illinois (license number 046010469) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700144029.
Healthcare Provider's Profile
| Full Name | Dr Ryan Scott Thoele |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 14 Years |
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| Location | 1505 W Main St, Mt Zion, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ryan Scott Thoele attended and graduated from Illinois College Of Optometry At Chicago in 2011
NPI Data:
- NPI Number: 1700144029
- Provider Enumeration Date: 04/24/2012
- Last Update Date: 02/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436313210
- Enrollment ID: I20120606000557
Medical Identifiers
Medical identifiers for Dr Ryan Scott Thoele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700144029 | NPI | - | NPPES |
| 1700144029 | Medicaid | IL | |
| 1700144029 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 046010469 (Illinois) | Primary |
| 152W00000X | Optometrist | 2013000824 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Christina J. Levi O D P C. | 9436210762 | 56 |
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. Dr Ryan Scott Thoele allows following entities to bill medicare on his behalf.
| Provider Name | International Eyecare Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760405047
PECOS PAC ID: 0244125235
Enrollment ID: O20040218000758 |
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| Provider Name | Christina J. Levi O D P C. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477703411
PECOS PAC ID: 9436210762
Enrollment ID: O20081205000160 |
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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. Dr Ryan Scott Thoele 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 |
|---|
Dr Ryan Scott Thoele, OD
2445 Broadway St,
Quincy, IL 62301-3257
Ph: (217) 222-8800 | Dr Ryan Scott Thoele, OD
1505 W Main St,
Mt Zion, IL 62549-1300
Ph: (217) 864-3221 |
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