Shundale Thomas Mixon, OD - Medicare Optometrist in Suwanee, GA

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Shundale Thomas Mixon, OD is a medicare enrolled "Optometrist" provider in Suwanee, Georgia. She went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Optometry. Her current practice location is 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (334) 318-0713.

Shundale Thomas Mixon is licensed to practice in Georgia (license number OPT003111) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013403088.

Contact Information

Shundale Thomas Mixon, OD
1300 Peachtree Industrial Blvd Ste 1206,
Suwanee, GA 30024-4550
(334) 318-0713
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShundale Thomas Mixon
GenderFemale
SpecialityOptometry
Experience8 Years
Location1300 Peachtree Industrial Blvd Ste 1206, Suwanee, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shundale Thomas Mixon attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2018
  NPI Data:
  • NPI Number: 1013403088
  • Provider Enumeration Date: 07/02/2018
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537402367
  • Enrollment ID: I20190520001460

Medical Identifiers

Medical identifiers for Shundale Thomas Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013403088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT003111 (Georgia)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. Shundale Thomas Mixon allows following entities to bill medicare on her behalf.
Provider NameNorth Georgia Eye Clinic Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497882500
PECOS PAC ID: 8022099175
Enrollment ID: O20040526000127
Provider NameClarkson Optometry Georgia Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184802670
PECOS PAC ID: 5193732949
Enrollment ID: O20060320000335
Provider NamePerimeter Vision Care Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215611546
PECOS PAC ID: 0547685810
Enrollment ID: O20200803003142
Provider NameTown Center Vision Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669929634
PECOS PAC ID: 9234546813
Enrollment ID: O20210326000744
Provider NameCobb Eye Associates Ii Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316306145
PECOS PAC ID: 8527458330
Enrollment ID: O20211210000711
Provider NameLenox Vision Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790212934
PECOS PAC ID: 8224428032
Enrollment ID: O20211210000830
Provider NameAlpharetta Vision Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487224150
PECOS PAC ID: 7012302656
Enrollment ID: O20220318000424
Provider NameGwinnett Pediatric & Adult Eye Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578210589
PECOS PAC ID: 3678969292
Enrollment ID: O20231128001289

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. Shundale Thomas Mixon 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 AddressPractice Location Address
Shundale Thomas Mixon, OD
1300 Peachtree Industrial Blvd Ste 1206,
Suwanee, GA 30024-4550

Ph: (770) 783-2162		Shundale Thomas Mixon, OD
1300 Peachtree Industrial Blvd Ste 1206,
Suwanee, GA 30024-4550

Ph: (334) 318-0713

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.