Yavapai Eye Care is a medicare enrolled "Ophthalmology" provider in Prescott Valley, Arizona. Their current practice location is
7840 E State Route 69 Ste A5a, Prescott Valley, Arizona. You can reach out to their office (for appointments etc.) via phone at
(928) 775-9393.
Yavapai Eye Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Yavapai Eye Care
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 1477188894.
Healthcare Provider's Profile
Full Name | Yavapai Eye Care |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 7840 E State Route 69 Ste A5a, Prescott Valley, Arizona |
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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: 1477188894
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244660678
- Enrollment ID: O20200424002528
Medical Identifiers
Medical identifiers for Yavapai Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477188894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Yavapai Eye Care acts as a billing entity for following providers:
Provider Name | Bradley D Packer |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1780662734 PECOS PAC ID: 4486719135 Enrollment ID: I20090213000123 |
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Provider Name | Jared Smedley |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1487074191 PECOS PAC ID: 5193019297 Enrollment ID: I20180727001613 |
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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. Yavapai Eye Care 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 |
Yavapai Eye Care 7840 E State Route 69 Ste A5a, Prescott Valley, AZ 86314-2280 Ph: (928) 775-9393 | Yavapai Eye Care 7840 E State Route 69 Ste A5a, Prescott Valley, AZ 86314-2280 Ph: (928) 775-9393 |
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