Dr Sarah Nicole Gore, OD is a medicare enrolled "Optometrist" provider in Scott Air Force Base, Illinois. Her current practice location is
310 W. Losey St, Optometry, Scott Air Force Base, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 256-2392.
Dr Sarah Nicole Gore is licensed to practice in Missouri (license number 2013017927) 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 1871922369.
Healthcare Provider's Profile
| Full Name | Dr Sarah Nicole Gore |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 310 W. Losey St, Scott Air Force Base, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871922369
- Provider Enumeration Date: 11/05/2013
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507184777
- Enrollment ID: I20150420001099
Medical Identifiers
Medical identifiers for Dr Sarah Nicole Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871922369 | NPI | - | NPPES |
| 310012306 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2013017927 (Missouri) | 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. Dr Sarah Nicole Gore allows following entities to bill medicare on her behalf.
| Provider Name | Washington University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013957562
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000203 |
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| Provider Name | Clarkson Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497155345
PECOS PAC ID: 0840411799
Enrollment ID: O20141020000232 |
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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 Sarah Nicole Gore 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 |
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Dr Sarah Nicole Gore, OD
310 W. Losey St, Optometry,
Scott Air Force Base, IL 62225
Ph: (618) 256-2392 | Dr Sarah Nicole Gore, OD
310 W. Losey St, Optometry,
Scott Air Force Base, IL 62225
Ph: (618) 256-2392 |
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