Dr Kelly Crenna, OD in Maple Grove, MN - Medicare Optometrist Provider

Dr Kelly Crenna, OD is a medicare enrolled "Optometrist" provider in Maple Grove, Minnesota. Her current practice location is 13195 Weaver Lake Rd, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 599-0153.

Dr Kelly Crenna is licensed to practice in Minnesota (license number 3171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053540690.

Contact Information

	Dr Kelly Crenna, OD
	13195 Weaver Lake Rd, Maple Grove, MN 55369-9410
	(763) 599-0153
	(763) 420-6957

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Crenna
Gender	Female
Speciality	Optometrist
Location	13195 Weaver Lake Rd, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053540690
Provider Enumeration Date: 07/03/2009
Last Update Date: 05/06/2015

Medicare PECOS Information:

PECOS PAC ID: 7810035565
Enrollment ID: I20091117000552

Medical Identifiers

Medical identifiers for Dr Kelly Crenna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053540690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3171 (Minnesota)	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 Kelly Crenna allows following entities to bill medicare on her behalf.

Provider Name	Elton Eyecare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811430226 PECOS PAC ID: 9032455936 Enrollment ID: O20190115000305

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 Kelly Crenna 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 Kelly Crenna, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 420-5112	Dr Kelly Crenna, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 599-0153

Reviews and Comments

Optometrist in Maple Grove, MN

Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061
Renee M Ritzer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173

Dr Kelly Crenna, OD - Medicare Optometrist in Maple Grove, MN