Michael J Deiboldt, OD - Medicare Optometrist in Winchester, VA

Michael J Deiboldt, OD is a medicare enrolled "Optometrist" provider in Winchester, Virginia. He went to Illinois College Of Optometry At Chicago and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Blue Ridge Eye Specialists Pc and his current practice location is 420 W Jubal Early Dr Ste 200, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 662-2700.

Michael J Deiboldt is licensed to practice in Virginia (license number 0681800575) 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 1083705826.

Contact Information

Michael J Deiboldt, OD
420 W Jubal Early Dr Ste 200,
Winchester, VA 22601-6435
(540) 662-2700
(540) 662-8801



Healthcare Provider's Profile

Full NameMichael J Deiboldt
GenderMale
SpecialityOptometry
Experience25 Years
Location420 W Jubal Early Dr Ste 200, Winchester, Virginia
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:
  • Michael J Deiboldt attended and graduated from Illinois College Of Optometry At Chicago in 1999
  NPI Data:
  • NPI Number: 1083705826
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 11/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991755894
  • Enrollment ID: I20050128000090

Medical Identifiers

Medical identifiers for Michael J Deiboldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083705826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0681800575 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Eye Specialists Pc14563013322

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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. Michael J Deiboldt allows following entities to bill medicare on his behalf.
Provider NameBlue Ridge Eye Specialists Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043422314
PECOS PAC ID: 1456301332
Enrollment ID: O20050127001112

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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. Michael J Deiboldt 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
Michael J Deiboldt, OD
420 W Jubal Early Dr Ste 200,
Winchester, VA 22601-6435

Ph: (540) 662-2700
Michael J Deiboldt, OD
420 W Jubal Early Dr Ste 200,
Winchester, VA 22601-6435

Ph: (540) 662-2700

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Optometrist in Winchester, VA

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Phone: 540-665-0541    Fax: 540-665-8286
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Dr. Iris L. Flores, O.D.
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Phone: 540-450-8504    Fax: 540-450-8507
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