Dr Kathy Shin, OD is a medicare enrolled "Optometrist" provider in Fanwood, New Jersey. She went to State University Of New York - State College Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Fanwood Eye Care Llc and her current practice location is
246 South Ave, Suite 106, Fanwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 366-7605.
Dr Kathy Shin is licensed to practice in New Jersey (license number 27OA00643700) 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 1457648867.
Healthcare Provider's Profile
| Full Name | Dr Kathy Shin |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 246 South Ave, Fanwood, 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 Kathy Shin attended and graduated from State University Of New York - State College Optometry in 2011
NPI Data:
- NPI Number: 1457648867
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 06/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 0941566111
- Enrollment ID: I20171108001100
Medical Identifiers
Medical identifiers for Dr Kathy Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457648867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 27OA00643700 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fanwood Eye Care Llc | 9032475207 | 2 |
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 Kathy Shin allows following entities to bill medicare on her behalf.
| Provider Name | Fanwood Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396281564
PECOS PAC ID: 9032475207
Enrollment ID: O20171106000608 |
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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 Kathy Shin 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 Kathy Shin, OD
246 South Ave, #106,
Fanwood, NJ 07023
Ph: (908) 379-8178 | Dr Kathy Shin, OD
246 South Ave, Suite 106,
Fanwood, NJ 07023-1220
Ph: (908) 366-7605 |
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