Anthony T Swanholm, OD - Medicare Optometrist in Covington, KY

Anthony T Swanholm, OD is a medicare enrolled "Optometrist" provider in Covington, Kentucky. He went to Pacific University - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 1500 James Simpson Jr Way, Covington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 655-3111.

Anthony T Swanholm is licensed to practice in Kentucky (license number 2057DT) 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 1609228089.

Contact Information

Anthony T Swanholm, OD
1500 James Simpson Jr Way,
Covington, KY 41011-0801
(859) 655-3111
(859) 655-3110

Map and Direction




Healthcare Provider's Profile

Full NameAnthony T Swanholm
GenderMale
SpecialityOptometry
Experience8 Years
Location1500 James Simpson Jr Way, Covington, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anthony T Swanholm attended and graduated from Pacific University - College Of Optometry in 2016
  NPI Data:
  • NPI Number: 1609228089
  • Provider Enumeration Date: 07/08/2016
  • Last Update Date: 04/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951695451
  • Enrollment ID: I20170719000500

Medical Identifiers

Medical identifiers for Anthony T Swanholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609228089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT.006714 (Ohio)Secondary
152W00000XOptometrist 2057DT (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

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. Anthony T Swanholm allows following entities to bill medicare on his behalf.
Provider NameSummit Medical Group, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738
Provider NameClarkson Optometry Midwest Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073917597
PECOS PAC ID: 0749504165
Enrollment ID: O20160526000461

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. Anthony T Swanholm 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 AddressPractice Location Address
Anthony T Swanholm, OD
Po Box 635283,
Cincinnati, OH 45263-5286

Ph: (859) 344-5555
Anthony T Swanholm, OD
1500 James Simpson Jr Way,
Covington, KY 41011-0801

Ph: (859) 655-3111

Reviews and Comments


Optometrist in Covington, KY

Dr. Thomas J Moore, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 7 West 7th St, Covington, KY 41011
Phone: 859-431-7966    
St. Elizabeth Physicians
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011
Phone: 859-655-3111    Fax: 859-655-3110

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.