Dr Jessica Chiyoko Fedor, OD - Medicare Optometrist in Coon Rapids, MN

Dr Jessica Chiyoko Fedor, OD is a medicare enrolled "Optometrist" provider in Coon Rapids, Minnesota. She went to Pacific University - College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Allina Health System and her current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-9155.

Dr Jessica Chiyoko Fedor is licensed to practice in Minnesota (license number 3028) 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 1801980537.

Contact Information

Dr Jessica Chiyoko Fedor, OD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433
(763) 780-9155
(763) 236-1066

Map and Direction




Healthcare Provider's Profile

Full NameDr Jessica Chiyoko Fedor
GenderFemale
SpecialityOptometry
Experience19 Years
Location9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jessica Chiyoko Fedor attended and graduated from Pacific University - College Of Optometry in 2005
  NPI Data:
  • NPI Number: 1801980537
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 08/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305876095
  • Enrollment ID: I20050812000381

Medical Identifiers

Medical identifiers for Dr Jessica Chiyoko Fedor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801980537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3028 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133101

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 Jessica Chiyoko Fedor allows following entities to bill medicare on her behalf.
Provider NameAllina Health System
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Provider NameAllina Health System
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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 Jessica Chiyoko Fedor 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 Jessica Chiyoko Fedor, OD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000
Dr Jessica Chiyoko Fedor, OD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433

Ph: (763) 780-9155

Reviews and Comments


Optometrist in Coon Rapids, MN

Dr. Kristi Jo Backer Palmer, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Dr. Bridget C Axelson, O.D.
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Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433
Phone: 763-421-7420    
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Phone: 763-421-9652    
James Conrad Verkuilen, OD
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Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Vista Family Eye Care Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433
Phone: 763-843-7153    
Dr. Paul Chadima Hammond, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433
Phone: 763-421-7420    

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.