Audie M Teague O D P A is a medicare enrolled "Optometrist" provider in Prescott, Arkansas. Their current practice location is
204 E 2nd Sreet S, Prescott, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 887-3596.
Audie M Teague O D P A is licensed to practice in Arkansas (license number 2325) and it also participates in the medicare program. Audie M Teague O D P A
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 1699856278.
Healthcare Provider's Profile
Full Name | Audie M Teague O D P A |
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Type | Facility |
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Speciality | Optometrist |
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Location | 204 E 2nd Sreet S, Prescott, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699856278
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 08/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 1153495494
- Enrollment ID: O20080804000502
Medical Identifiers
Medical identifiers for Audie M Teague O D P A such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699856278 | NPI | - | NPPES |
410011556 | Other | AR | RAILROAD MEDICARE |
112122722 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2325 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Audie M Teague O D P A acts as a billing entity for following providers:
Provider Name | Audie M Teague |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1821185091 PECOS PAC ID: 9931115979 Enrollment ID: I20060301000095 |
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Provider Name | Kristen Teague |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1598079451 PECOS PAC ID: 3678697372 Enrollment ID: I20100902000086 |
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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. Audie M Teague O D P A 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 |
Audie M Teague O D P A Po Box 189, Prescott, AR 71857-0189 Ph: (870) 887-3596 | Audie M Teague O D P A 204 E 2nd Sreet S, Prescott, AR 71857 Ph: (870) 887-3596 |
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