Dr Kelvin Paul Mcdaniel Jr, DO is a medicare enrolled "Ophthalmology" physician in St. Louis, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2015 and has 9 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Bay Eyes Cataract And Laser Center Inc and his current practice location is
6420 Clayton Rd, Department Of Internal Medicine, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 768-8778.
Dr Kelvin Paul Mcdaniel Jr is licensed to practice in Missouri (license number 390200000) 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 1538554258.
Physician's Profile
| Full Name | Dr Kelvin Paul Mcdaniel Jr |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 9 Years |
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| Location | 6420 Clayton Rd, St. Louis, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelvin Paul Mcdaniel Jr attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2015
NPI Data:
- NPI Number: 1538554258
- Provider Enumeration Date: 03/31/2015
- Last Update Date: 03/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 7416244124
- Enrollment ID: I20190607001332
Medical Identifiers
Medical identifiers for Dr Kelvin Paul Mcdaniel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538554258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 390200000 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bay Eyes Cataract And Laser Center Inc | 0547206765 | 16 |
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 Kelvin Paul Mcdaniel Jr allows following entities to bill medicare on his behalf.
| Entity Name | Bay Eyes Cataract And Laser Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396884227
PECOS PAC ID: 0547206765
Enrollment ID: O20050628001051 |
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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 Kelvin Paul Mcdaniel Jr 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 |
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Dr Kelvin Paul Mcdaniel Jr, DO
328 Twin River Dr,
Covington, LA 70433-8504
Ph: () - | Dr Kelvin Paul Mcdaniel Jr, DO
6420 Clayton Rd, Department Of Internal Medicine,
St. Louis, MO 63117
Ph: (314) 768-8778 |
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