Dr Diane A King, OD is a medicare enrolled "Optometrist" provider in Bogota, New Jersey. She went to Pennsylvania College Of Optometry and graduated in 1984 and has 40 years of diverse experience with area of expertise as Optometry. Her current practice location is
137 Queen Anne Rd, Bogota, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 488-7855.
Dr Diane A King is licensed to practice in New Jersey (license number 4478) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205828589.
Healthcare Provider's Profile
| Full Name | Dr Diane A King |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 40 Years |
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| Location | 137 Queen Anne Rd, Bogota, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Diane A King attended and graduated from Pennsylvania College Of Optometry in 1984
NPI Data:
- NPI Number: 1205828589
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375670854
- Enrollment ID: I20100415000526
Medical Identifiers
Medical identifiers for Dr Diane A King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205828589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4478 (New Jersey) | 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. Dr Diane A King allows following entities to bill medicare on her behalf.
| Provider Name | Bogota Family Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1619613312
PECOS PAC ID: 8224415740
Enrollment ID: O20220521000007 |
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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. Dr Diane A King 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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Dr Diane A King, OD
137 Queen Anne Rd,
Bogota, NJ 07603-1623
Ph: (201) 488-7855 | Dr Diane A King, OD
137 Queen Anne Rd,
Bogota, NJ 07603-1623
Ph: (201) 488-7855 |
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