Dr Jeffrey C Kossol, OD is a
Optometrist based in Palo Cedro, California. Dr Jeffrey C Kossol is licensed to practice in California (license number OPT 7249 TPL) and his current practice location is
9372 Deschutes Rd, Palo Cedro, California. He can be reached at his office (for appointments etc.) via phone at
(530) 547-2020.
NPI number for Dr Jeffrey C Kossol is 1629053541 and his current mailing address is 9372 Deschutes Rd, Palo Cedro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629053541.
Healthcare Provider's Profile
Full Name | Dr Jeffrey C Kossol |
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Gender | Male |
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Speciality | Optometrist |
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Location | 9372 Deschutes Rd, Palo Cedro, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629053541
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 03/09/2009
Medical Identifiers
Medical identifiers for Dr Jeffrey C Kossol such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629053541 | NPI | - | NPPES |
SD0072491 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT 7249 TPL (California) | Primary |
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 Jeffrey C Kossol is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jeffrey C Kossol, OD 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 | Dr Jeffrey C Kossol, OD 9372 Deschutes Rd, Palo Cedro, CA 96073-9763 Ph: (530) 547-2020 |
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