Dr Kelly G Ross, OD is a medicare enrolled "Optometrist" provider in Walnut Ridge, Arkansas. She went to Southern College Of Optometry and graduated in 1998 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kelly G Ross Od Pa and her current practice location is
1014 W Main St, Walnut Ridge, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 886-2632.
Dr Kelly G Ross is licensed to practice in Arkansas (license number 2485) 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 1073549200.
Healthcare Provider's Profile
Full Name | Dr Kelly G Ross |
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Gender | Female |
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Speciality | Optometry |
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Experience | 26 Years |
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Location | 1014 W Main St, Walnut Ridge, Arkansas |
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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. |
Medical Education and Training:
- Dr Kelly G Ross attended and graduated from Southern College Of Optometry in 1998
NPI Data:
- NPI Number: 1073549200
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 12/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 3870540271
- Enrollment ID: I20050407000764
Medical Identifiers
Medical identifiers for Dr Kelly G Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073549200 | NPI | - | NPPES |
137089722 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2485 (Arkansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kelly G Ross Od Pa | 7214982321 | 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 Kelly G Ross allows following entities to bill medicare on her behalf.
Provider Name | Kelly G Ross Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1982760955 PECOS PAC ID: 7214982321 Enrollment ID: O20050407000634 |
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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 Kelly G Ross 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 G Ross, OD Po Box 349, Walnut Ridge, AR 72476-0349 Ph: (870) 886-2632 | Dr Kelly G Ross, OD 1014 W Main St, Walnut Ridge, AR 72476-1004 Ph: (870) 886-2632 |
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