Harold Peter Kavoussi, MD is a medicare enrolled "Ophthalmology" physician in Collierville, Tennessee. He went to Meharry Medical College School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
336 Poplar View Pkwy, 1, Collierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 854-6220.
Harold Peter Kavoussi is licensed to practice in Tennessee (license number MD12179) 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 1871694877.
Physician's Profile
| Full Name | Harold Peter Kavoussi |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 45 Years |
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| Location | 336 Poplar View Pkwy, Collierville, Tennessee |
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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:
- Harold Peter Kavoussi attended and graduated from Meharry Medical College School Of Medicine in 1979
NPI Data:
- NPI Number: 1871694877
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 05/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 5991971202
- Enrollment ID: I20120106000583
Medical Identifiers
Medical identifiers for Harold Peter Kavoussi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871694877 | NPI | - | NPPES |
| 3877327 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | MD12179 (Tennessee) | Primary |
Medical Facilities Affiliation
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. Harold Peter Kavoussi allows following entities to bill medicare on his behalf.
| Entity Name | Southern Tennessee Eye Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982802559
PECOS PAC ID: 7012986755
Enrollment ID: O20040929000372 |
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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. Harold Peter Kavoussi 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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Harold Peter Kavoussi, MD
336 Poplar View Pkwy, 1,
Collierville, TN 38017
Ph: (901) 854-6220 | Harold Peter Kavoussi, MD
336 Poplar View Pkwy, 1,
Collierville, TN 38017
Ph: (901) 854-6220 |
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