Carolyn K Anderson, OD is a medicare enrolled "Optometrist" provider in Penn Yan, New York. Her current practice location is
163 Main St, Penn Yan, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 536-9941.
Carolyn K Anderson is licensed to practice in New York (license number 009431) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598439127.
Healthcare Provider's Profile
| Full Name | Carolyn K Anderson |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 163 Main St, Penn Yan, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598439127
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749670974
- Enrollment ID: I20211202001679
Medical Identifiers
Medical identifiers for Carolyn K Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598439127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 009431 (New York) | 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. Carolyn K Anderson allows following entities to bill medicare on her behalf.
| Provider Name | Peter Schwartz, Md, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235212002
PECOS PAC ID: 1355356023
Enrollment ID: O20060216000323 |
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| Provider Name | Penn Yan Optometry Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275600496
PECOS PAC ID: 2769855204
Enrollment ID: O20230302001681 |
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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. Carolyn K Anderson 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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Carolyn K Anderson, OD
163 Main St,
Penn Yan, NY 14527-1284
Ph: () - | Carolyn K Anderson, OD
163 Main St,
Penn Yan, NY 14527-1284
Ph: (315) 536-9941 |
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