Daniel P Ethakoti, OD - Medicare Optometrist in Saint Louis, MO

Daniel P Ethakoti, OD is a medicare enrolled "Optometrist" provider in Saint Louis, Missouri. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Optometry. His current practice location is 3732 S Kingshighway Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 446-1134.

Daniel P Ethakoti is licensed to practice in Missouri (license number 2015020209) 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 1740662964.

Contact Information

Daniel P Ethakoti, OD
3732 S Kingshighway Blvd,
Saint Louis, MO 63109-1800
(314) 446-1134
(314) 446-1136

Map and Direction




Healthcare Provider's Profile

Full NameDaniel P Ethakoti
GenderMale
SpecialityOptometry
Experience9 Years
Location3732 S Kingshighway Blvd, Saint Louis, Missouri
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:
  • Daniel P Ethakoti graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1740662964
  • Provider Enumeration Date: 06/24/2015
  • Last Update Date: 06/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032422738
  • Enrollment ID: I20150724010090

Medical Identifiers

Medical identifiers for Daniel P Ethakoti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740662964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2015020209 (Missouri)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. Daniel P Ethakoti allows following entities to bill medicare on his behalf.
Provider NameOverland Optical, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457377848
PECOS PAC ID: 4284616814
Enrollment ID: O20040607000222
Provider NameRed Eye Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629257852
PECOS PAC ID: 1052727385
Enrollment ID: O20210310001844

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. Daniel P Ethakoti 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
Daniel P Ethakoti, OD
211 E Broadway,
Alton, IL 62002-6220

Ph: (618) 462-9818
Daniel P Ethakoti, OD
3732 S Kingshighway Blvd,
Saint Louis, MO 63109-1800

Ph: (314) 446-1134

Reviews and Comments


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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.