Dr Ethin Stanlee Kiekhafer, OD in Stillwater, MN

Dr Ethin Stanlee Kiekhafer, OD is a medicare enrolled "Ophthalmology - Cornea And External Diseases Specialist" physician in Stillwater, Minnesota. His current practice location is Associated Eye Care, 2950 Curve Crest Blvd, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 275-3000.

Dr Ethin Stanlee Kiekhafer is licensed to practice in Wisconsin (license number 3820) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366175416.

Contact Information

	Dr Ethin Stanlee Kiekhafer, OD
	Associated Eye Care, 2950 Curve Crest Blvd, Stillwater, MN 55082
	(651) 275-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ethin Stanlee Kiekhafer
Gender	Male
Speciality	Ophthalmology - Cornea And External Diseases Specialist
Location	Associated Eye Care, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366175416
Provider Enumeration Date: 07/06/2022
Last Update Date: 06/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5799168969
Enrollment ID: I20220822000440

Medical Identifiers

Medical identifiers for Dr Ethin Stanlee Kiekhafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366175416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0120X	Ophthalmology - Cornea And External Diseases Specialist	3795 (Minnesota)	Secondary
207WX0120X	Ophthalmology - Cornea And External Diseases Specialist	3820 (Wisconsin)	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 Ethin Stanlee Kiekhafer allows following entities to bill medicare on his behalf.

Entity Name	Associated Eye Care Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881699197 PECOS PAC ID: 4486552437 Enrollment ID: O20040205000924

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 Ethin Stanlee Kiekhafer 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 Address	Practice Location Address
Dr Ethin Stanlee Kiekhafer, OD Associated Eye Care, 2950 Curve Crest Blvd, Stillwater, MN 55082 Ph: (651) 275-3000	Dr Ethin Stanlee Kiekhafer, OD Associated Eye Care, 2950 Curve Crest Blvd, Stillwater, MN 55082 Ph: (651) 275-3000

Reviews and Comments

Ophthalmology Doctors in Stillwater, MN

Dr. Jesse Vislisel, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2950 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-275-3000 Fax: 651-275-3032
Jeffrey Thomas Lynch, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2950 Curve Crest Blvd, Stillwater, MN 55082 Phone: 651-275-3000 Fax: 651-275-3027
Brian J Tienor, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2950 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-275-3050 Fax: 651-275-3032
Dr. Adam D Goddard, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2950 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-275-3000 Fax: 651-275-3027
Dr. David H Park, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2950 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-275-3000 Fax: 651-275-3027
Dr. Evan A Ballard, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2950 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-275-3000 Fax: 651-275-3027

Dr Ethin Stanlee Kiekhafer, OD - Medicare Ophthalmology in Stillwater, MN