Clinton R Shoultz, OD - Medicare Optometrist in Petersburg, IN

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Clinton R Shoultz, OD is a medicare enrolled "Optometrist" provider in Petersburg, Indiana. He went to Indiana University - School Of Optometry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. His current practice location is 715 S 9th St, Petersburg, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 354-9400.

Clinton R Shoultz is licensed to practice in Indiana (license number 18003125A) 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 1619912599.

Contact Information

Clinton R Shoultz, OD
715 S 9th St,
Petersburg, IN 47567-1820
(812) 354-9400
(812) 354-2627

Map and Direction




Healthcare Provider's Profile

Full NameClinton R Shoultz
GenderMale
SpecialityOptometry
Experience23 Years
Location715 S 9th St, Petersburg, Indiana
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:
  • Clinton R Shoultz attended and graduated from Indiana University - School Of Optometry in 2001
  NPI Data:
  • NPI Number: 1619912599
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 02/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8022207505
  • Enrollment ID: I20110114000116

Medical Identifiers

Medical identifiers for Clinton R Shoultz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619912599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18003125A (Indiana)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. Clinton R Shoultz allows following entities to bill medicare on his behalf.
Provider NameCrs Optical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1528322195
PECOS PAC ID: 7315103553
Enrollment ID: O20120717000006

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. Clinton R Shoultz 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
Clinton R Shoultz, OD
715 S 9th St,
Petersburg, IN 47567-1820

Ph: (812) 257-8713		Clinton R Shoultz, OD
715 S 9th St,
Petersburg, IN 47567-1820

Ph: (812) 354-9400

Reviews and Comments


Optometrist in Petersburg, IN

Renee Abrassart Ramsey
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 102 S 2nd St, Petersburg, IN 47567
Phone: 812-354-3331    Fax: 812-354-3331
Dr. Renee T Abrassant Ramsey,
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 601 E Main St, Petersburg, IN 47567
Phone: 812-354-3331    Fax: 812-354-3331
Crs Optical Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 715 S 9th St, Petersburg, IN 47567
Phone: 812-354-9400    Fax: 812-354-2627

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.