Dr Vicki Shangraw Kvedar, MD is a medicare enrolled "Ophthalmology" physician in Melrose, Massachusetts. She went to Boston University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Mark A Latina Llc, Mark A. Latina and her current practice location is
467 Main St, Melrose, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 662-2216.
Dr Vicki Shangraw Kvedar is licensed to practice in Massachusetts (license number 59738) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316910953.
Physician's Profile
| Full Name | Dr Vicki Shangraw Kvedar |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 37 Years |
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| Location | 467 Main St, Melrose, Massachusetts |
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| Accepts Medicare Assignments | Yes. She 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 Vicki Shangraw Kvedar attended and graduated from Boston University School Of Medicine in 1987
NPI Data:
- NPI Number: 1316910953
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 10/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769421130
- Enrollment ID: I20050426001101
Medical Identifiers
Medical identifiers for Dr Vicki Shangraw Kvedar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316910953 | NPI | - | NPPES |
| 3078418 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 59738 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mark A Latina Llc | 2365814514 | 4 |
| Mark A. Latina | 2567435019 | 5 |
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 Vicki Shangraw Kvedar allows following entities to bill medicare on her behalf.
| Entity Name | Mark A. Latina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508839291
PECOS PAC ID: 2567435019
Enrollment ID: O20040813000811 |
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| Entity Name | Mark A Latina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619413069
PECOS PAC ID: 2365814514
Enrollment ID: O20230216000190 |
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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 Vicki Shangraw Kvedar 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 Vicki Shangraw Kvedar, MD
12 Grey Ln,
Lynnfield, MA 01940-1240
Ph: (781) 334-6316 | Dr Vicki Shangraw Kvedar, MD
467 Main St,
Melrose, MA 02176-3856
Ph: (781) 662-2216 |
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