David M Kruse Od Pa is a medicare enrolled "Optometrist" provider in Jackson, Minnesota. Their current practice location is
709 2nd St, Jackson, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(507) 847-5951.
David M Kruse Od Pa is licensed to practice in Minnesota (license number MN1915) and it also participates in the medicare program. David M Kruse Od Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316140890.
Healthcare Provider's Profile
| Full Name | David M Kruse Od Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 709 2nd St, Jackson, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316140890
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 08/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173557923
- Enrollment ID: O20050921001053
Medical Identifiers
Medical identifiers for David M Kruse Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316140890 | NPI | - | NPPES |
| 015968001 | Other | MN | MEDICARE DME |
| 826523200 | Medicaid | MN | |
| DQ7129 | Other | MN | MEDICARE RAILROAD |
| 48476KR | Other | MN | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | MN1915 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
David M Kruse Od Pa acts as a billing entity for following providers:
| Provider Name | David M Kruse |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1982697686
PECOS PAC ID: 9931133808
Enrollment ID: I20050920001084 |
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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. David M Kruse Od Pa 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 |
|---|
David M Kruse Od Pa
709 2nd St,
Jackson, MN 56143-1647
Ph: (507) 847-5951 | David M Kruse Od Pa
709 2nd St,
Jackson, MN 56143-1647
Ph: (507) 847-5951 |
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