Dr Courtney Ray Sivertson, OD - Medicare Optometrist in Rochester, MN

Dr Courtney Ray Sivertson, OD is a medicare enrolled "Optometrist" provider in Rochester, Minnesota. He went to Illinois College Of Optometry At Chicago and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Lifetime Eye Care Of Rochester Inc and his current practice location is 3632 10th Ln Nw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 282-7121.

Dr Courtney Ray Sivertson is licensed to practice in Minnesota (license number 3070) 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 1114948734.

Contact Information

Dr Courtney Ray Sivertson, OD
3632 10th Ln Nw,
Rochester, MN 55901-7032
(507) 282-7121
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Courtney Ray Sivertson
GenderMale
SpecialityOptometry
Experience18 Years
Location3632 10th Ln Nw, Rochester, Minnesota
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:
  • Dr Courtney Ray Sivertson attended and graduated from Illinois College Of Optometry At Chicago in 2006
  NPI Data:
  • NPI Number: 1114948734
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 07/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4880799105
  • Enrollment ID: I20070416000417

Medical Identifiers

Medical identifiers for Dr Courtney Ray Sivertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114948734NPI-NPPES
09Y98SIOtherMNBLUE CROSS BLUE SHIELD
09Y99LIOtherMNBLUE CROSS BLUE SHIELD
39797WEOtherMNBLUE CROSS BLUE SHIELD
916891050630OtherMNPREFERRED ONE
HP77005OtherMNHEALTH PARTNERS
09Y96LIOtherMNBLUE CROSS BLUE SHIELD
411898525OtherMNHUMANA
6C464ANOtherMNBLUE CROSS BLUE SHIELD
138801OtherMNUCARE
628A8SIOtherMNBLUE CROSS BLUE SHIELD
763132000MedicaidMN
411898525OtherMNMAYO MANAGEMENT SERVICES
617A1SIOtherMNBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 6246453-9934 (Utah)Secondary
152WC0802XOptometrist - Corneal And Contact Management 3070 (Minnesota)Secondary
152W00000XOptometrist 3070 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifetime Eye Care Of Rochester Inc65079321675

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. Dr Courtney Ray Sivertson allows following entities to bill medicare on his behalf.
Provider NameLifetime Eye Care Of Rochester Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316107790
PECOS PAC ID: 6507932167
Enrollment ID: O20080904000533

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. Dr Courtney Ray Sivertson 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
Dr Courtney Ray Sivertson, OD
3632 10th Ln Nw,
Rochester, MN 55901-7032

Ph: (507) 210-4894
Dr Courtney Ray Sivertson, OD
3632 10th Ln Nw,
Rochester, MN 55901-7032

Ph: (507) 282-7121

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.