Sebago Primary Eye Care Services is a medicare enrolled "Optometrist" provider in South Casco, Maine. Their current practice location is
195 Roosevelt Trail, South Casco, Maine. You can reach out to their office (for appointments etc.) via phone at
(207) 655-2020.
Sebago Primary Eye Care Services is licensed to practice in Maine (license number 760) and it also participates in the medicare program. Sebago Primary Eye Care Services
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 1265754519.
Healthcare Provider's Profile
| Full Name | Sebago Primary Eye Care Services |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 195 Roosevelt Trail, South Casco, Maine |
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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: 1265754519
- Provider Enumeration Date: 02/26/2010
- Last Update Date: 02/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 0840469284
- Enrollment ID: O20141031001466
Medical Identifiers
Medical identifiers for Sebago Primary Eye Care Services such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265754519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 760 (Maine) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sebago Primary Eye Care Services acts as a billing entity for following providers:
| Provider Name | Thomas V Gordon |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1023181062
PECOS PAC ID: 0446294466
Enrollment ID: I20050610000486 |
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| Provider Name | Brenna Gerchman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1518583319
PECOS PAC ID: 7618372160
Enrollment ID: I20210820001103 |
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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. Sebago Primary Eye Care Services 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 |
|---|
Sebago Primary Eye Care Services
Po Box 200,
South Casco, ME 04077-0200
Ph: (207) 655-2020 | Sebago Primary Eye Care Services
195 Roosevelt Trail,
South Casco, ME 04077
Ph: (207) 655-2020 |
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