Dr David Lawrence Prudhomme, OD - Medicare Optometrist in Vicksburg, MS

Dr David Lawrence Prudhomme, OD is a medicare enrolled "Optometrist" provider in Vicksburg, Mississippi. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Riverbend Eyecare Pa and his current practice location is 3505 Pemberton Square Blvd, Suite 45, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 630-9199.

Dr David Lawrence Prudhomme is licensed to practice in Mississippi (license number MS 579) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1093901761.

Contact Information

Dr David Lawrence Prudhomme, OD
3505 Pemberton Square Blvd, Suite 45,
Vicksburg, MS 39180-5537
(601) 630-9199
(601) 630-9192



Healthcare Provider's Profile

Full NameDr David Lawrence Prudhomme
GenderMale
SpecialityOptometry
Experience32 Years
Location3505 Pemberton Square Blvd, Vicksburg, Mississippi
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Lawrence Prudhomme graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1093901761
  • Provider Enumeration Date: 09/17/2007
  • Last Update Date: 09/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7214066463
  • Enrollment ID: I20100526000409

Medical Identifiers

Medical identifiers for Dr David Lawrence Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093901761NPI-NPPES
00880004MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist MS 579 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverbend Eyecare Pa83251775792

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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 David Lawrence Prudhomme allows following entities to bill medicare on his behalf.
Provider NameRiverbend Eyecare Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811957624
PECOS PAC ID: 8325177579
Enrollment ID: O20100526000309

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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 David Lawrence Prudhomme 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
Dr David Lawrence Prudhomme, OD
Po Box 821135,
Vicksburg, MS 39182-1135

Ph: (601) 630-9199
Dr David Lawrence Prudhomme, OD
3505 Pemberton Square Blvd, Suite 45,
Vicksburg, MS 39180-5537

Ph: (601) 630-9199

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Optometrist in Vicksburg, MS

Dr. Kelby Warren Flemons, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1206 Mission 66, Vicksburg, MS 39183
Phone: 601-638-2081    
Collins Eye Clinic Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1206 Mission 66, Vicksburg, MS 39183
Phone: 601-638-2081    Fax: 601-638-2171
Dr. Jill Frier, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2152 Iowa Blvd, Vicksburg, MS 39180
Phone: 601-636-3937    Fax: 601-638-0944
Miles David Ashley, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1808 Mission 66, Vicksburg, MS 39180
Phone: 601-636-6364    Fax: 601-636-1162
Southern Eye Care Of Vicksburg Pa
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1206 Mission 66, Vicksburg, MS 39183
Phone: 601-638-2081    
Dr. C. Chris Collins, O. D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1206 Mission 66, Vicksburg, MS 39183
Phone: 601-638-2081    Fax: 601-638-2171

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