Dr Kamrian Sue Wilson, OD is a medicare enrolled "Optometrist" provider in St. Robert, Missouri. She went to University Of Missouri St Louis - School Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. Her current practice location is
690 Missouri Ave., Suite 22, St. Robert, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 336-4670.
Dr Kamrian Sue Wilson is licensed to practice in Missouri (license number TO3060) 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 1699702175.
Healthcare Provider's Profile
| Full Name | Dr Kamrian Sue Wilson |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 32 Years |
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| Location | 690 Missouri Ave., St. Robert, Missouri |
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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 Kamrian Sue Wilson attended and graduated from University Of Missouri St Louis - School Of Optometry in 1992
NPI Data:
- NPI Number: 1699702175
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 08/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 7214093251
- Enrollment ID: I20090227000102
Medical Identifiers
Medical identifiers for Dr Kamrian Sue Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699702175 | NPI | - | NPPES |
| 313540411 | Medicaid | MO | |
| 313540411MO | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TO3060 (Missouri) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | TO3060 (Missouri) | Secondary |
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 Kamrian Sue Wilson allows following entities to bill medicare on her behalf.
| Provider Name | Eyeglass Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992944979
PECOS PAC ID: 6204992241
Enrollment ID: O20090227000110 |
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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 Kamrian Sue Wilson 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 |
|---|
Dr Kamrian Sue Wilson, OD
690 Missouri Ave., Suite 22,
St. Robert, MO 65584-4680
Ph: (573) 336-4670 | Dr Kamrian Sue Wilson, OD
690 Missouri Ave., Suite 22,
St. Robert, MO 65584
Ph: (573) 336-4670 |
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