TABETHA LEANNE GANZEL OD
NPI 1356184758
Optometrist in Dover Foxcroft, ME

Active since June 14, 2024PECOS EnrolledAccepts Medicare Assignment
188 SUMMER ST, DOVER FOXCROFT, ME 04426(207) 564-0372 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabetha Leanne Ganzel Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABETHA LEANNE GANZEL OD (NPI 1356184758) is an individual optometrist in Dover Foxcroft, Maine, licensed in Maine (OPT1087) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2024).

NPPES Registry Identity

NPI1356184758
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTABETHA LEANNE GANZELCredential: OD
Location Address188 SUMMER STDover Foxcroft, ME 04426-1129
Mailing Address354 Drews Mills RdLinneus, ME 04730-4515 · (207) 694-2405
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2024
Enumeration DateJune 14, 2024
NPPES CertifiedMay 22, 2024
NPI 1356184758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ME · OPT1087
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
188 SUMMER ST, Dover Foxcroft, ME 04426

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tabetha Leanne Ganzel Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991243032
PECOS Enrollment IDI20240820002295
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Physician Assistant
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Dental Hygienist
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Nurse's Aide
188 SUMMER ST
DOVER FOXCROFT, ME 04426
Registered Nurse
188 SUMMER ST
DOVER FOXCROFT, ME 04426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabetha Ganzel's NPI number?

The NPI number for Tabetha Ganzel is 1356184758. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Tabetha Ganzel located?

Tabetha Ganzel practices at 188 Summer St, Dover Foxcroft, ME 04426. The listed phone number is (207) 564-0372.

What is Tabetha Ganzel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tabetha Ganzel enrolled in Medicare?

Yes. Tabetha Ganzel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tabetha Ganzel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Tabetha Ganzel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabetha Ganzel was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.