Dr Marimel S Tilley, OD - Medicare Optometrist in Shreveport, LA

Dr Marimel S Tilley, OD is a medicare enrolled "Optometrist" provider in Shreveport, Louisiana. Her current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 221-8411.

Dr Marimel S Tilley is licensed to practice in Louisiana (license number 1417-540AT) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700980109.

Contact Information

Dr Marimel S Tilley, OD
510 E Stoner Ave,
Shreveport, LA 71101-4243
(318) 221-8411
(318) 990-4752



Healthcare Provider's Profile

Full NameDr Marimel S Tilley
GenderFemale
SpecialityOptometrist
Location510 E Stoner Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700980109
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 10/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3072538438
  • Enrollment ID: I20051014000059

Medical Identifiers

Medical identifiers for Dr Marimel S Tilley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700980109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1417-540AT (Louisiana)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. Dr Marimel S Tilley allows following entities to bill medicare on her behalf.
Provider NameLusk Eye Specialists, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053405357
PECOS PAC ID: 6901792985
Enrollment ID: O20040226000032

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Provider NameJason Wonch, O.d. And Associates, A.p.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295769008
PECOS PAC ID: 8426040940
Enrollment ID: O20040402000193

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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 Marimel S Tilley 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 Marimel S Tilley, OD
510 E Stoner Ave,
Shreveport, LA 71101-4243

Ph: () -
Dr Marimel S Tilley, OD
510 E Stoner Ave,
Shreveport, LA 71101-4243

Ph: (318) 221-8411

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CCH, BGU launch collaboration to address lack of pediatric-specific medical devices

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Optometrist in Shreveport, LA

Sam R Silverblatt, Od Apmc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1803 E 70th St, Shreveport, LA 71105
Phone: 318-798-4000    Fax: 318-798-4001
Dr. Christine M Davis, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 955 Pierremont Rd Ste 400, Shreveport, LA 71106
Phone: 318-868-6118    Fax: 318-666-9927
Look Eyecare Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5848 Line Ave, Shreveport, LA 71106
Phone: 318-865-0017    
Lusk Eye Specialists, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 451 Ashley Ridge Blvd, Shreveport, LA 71106
Phone: 318-222-5555    Fax: 318-222-6414
Dr. Bradly Kendall Larson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 8889 Jewella Ave Ste C, Shreveport, LA 71118
Phone: 318-686-5227    Fax: 381-686-5283
Weston Whitworth, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 8889 Jewella Ave, Shreveport, LA 71118
Phone: 318-686-5227    
Dr. Michael David Pickering, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5848 Line Ave, Shreveport, LA 71106
Phone: 318-865-0017    Fax: 318-868-4738

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