Optum Infusion Services 204, Inc. is an authorized DME supplier for medicare equipments and products.
Optum Infusion Services 204, Inc. is a Home Infusion Therapy Pharmacy in Pensacola, Florida. It is located at 826 Creighton Rd, Unit A103, Pensacola and it's customer support contact number is 866-522-8438. The authorized person of Optum Infusion Services 204, Inc. is David John Oberg who is Assistant Secretary of the pharmacy and his contact number is 949-988-5893. Active license number of Optum Infusion Services 204, Inc. is PH22890 for Home Infusion Therapy Pharmacy in Florida. Optum Infusion Services 204, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Optum Infusion Services 204, Inc. is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Pharmacy Details:
Optum Infusion Services 204, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Optum Infusion Services 204, Inc.
Type:
Home Infusion Therapy Pharmacy
Location:
826 Creighton Rd, Unit A103, Pensacola, Florida, 32504-7076
Phone:
866-522-8438
Fax:
844-246-1271
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
David John Oberg
Position:
Assistant Secretary
Contact Number:
949-988-5893
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1356538771
NPI Enumeration Date:
30 Sep, 2007
NPI Last Update On:
29 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Optum Infusion Services 204, Inc. are as mentioned below.
Specialization
License Number
State
Status
Home Infusion Therapy Pharmacy
PH22890
Florida
Primary
Compounding Pharmacy
PH27820
Florida
Secondary
Managed Care Organization Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016048600
Medicaid
Florida
1029215
Other
Ncpdp Provider Identification Number
Medicare Enrollment:
Optum Infusion Services 204, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7416935036
O20100930024059
Ambient Healthcare Of West Florida, Inc.
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
826 Creighton Rd, Unit A-103 Pensacola, Florida
Zip:
32504
Phone Number:
866-522-8438
Fax Number:
844-246-1271
Patients can reach Optum Infusion Services 204, Inc. at 826 Creighton Rd, Unit A103, Pensacola, Florida or can call on customer care at 866-522-8438.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.