Dr Michael J Mavencamp, OD - Medicare Optometrist in Fairbanks, AK

Dr Michael J Mavencamp, OD is a medicare enrolled "Optometrist" provider in Fairbanks, Alaska. He went to Pacific University - College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. He is a member of the group practice West Valley Vision Center, Inc and his current practice location is 570 Riverstone Way, Ste 3, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 479-4700.

Dr Michael J Mavencamp is licensed to practice in Alaska (license number A240) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760541676.

Contact Information

Dr Michael J Mavencamp, OD
570 Riverstone Way, Ste 3,
Fairbanks, AK 99709
(907) 479-4700
(907) 457-5596



Healthcare Provider's Profile

Full NameDr Michael J Mavencamp
GenderMale
SpecialityOptometry
Experience19 Years
Location570 Riverstone Way, Fairbanks, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael J Mavencamp attended and graduated from Pacific University - College Of Optometry in 2005
  NPI Data:
  • NPI Number: 1760541676
  • Provider Enumeration Date: 12/06/2006
  • Last Update Date: 08/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7618995242
  • Enrollment ID: I20051102000893

Medical Identifiers

Medical identifiers for Dr Michael J Mavencamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760541676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist A240 (Alaska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Valley Vision Center, Inc94362349944

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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 Michael J Mavencamp allows following entities to bill medicare on his behalf.
Provider NameWest Valley Vision Center, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235354515
PECOS PAC ID: 9436234994
Enrollment ID: O20080307000159

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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 Michael J Mavencamp 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 Michael J Mavencamp, OD
570 Riverstone Way, Ste 3,
Fairbanks, AK 99709

Ph: (907) 479-4700
Dr Michael J Mavencamp, OD
570 Riverstone Way, Ste 3,
Fairbanks, AK 99709

Ph: (907) 479-4700

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Optometrist in Fairbanks, AK

Eye Clinic Of Fairbanks, Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1919 Lathrop St, Suite 103, Fairbanks, AK 99701
Phone: 907-456-7760    Fax: 907-451-7916
Dr. Amanda Michelle Tompkins, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1717 W Cowles St, Fairbanks, AK 99701
Phone: 907-451-6682    
Mountain View Eye Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2555 Phillips Field Rd, Fairbanks, AK 99709
Phone: 907-328-2920    
Augusta Ann Plassmann King, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1521 Stacia St, Unit B, Fairbanks, AK 99701
Phone: 907-456-4822    
Anita Mullins,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 201 Old Steese Hwy Ste 2, Fairbanks, AK 99701
Phone: 907-456-4822    Fax: 907-456-4830
Dr. Jeremy Fulk,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 116 Minnie St, Fairbanks, AK 99701
Phone: 907-456-7760    
John Charles Cobbett, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1867 Airport Way Ste 150a, Fairbanks, AK 99701
Phone: 907-452-2131    Fax: 907-452-2618

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