Dr Kenneth Richard Statsick, OD in Goldsboro, NC

Dr Kenneth Richard Statsick, OD is a medicare enrolled "Optometrist" provider in Goldsboro, North Carolina. He went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Atlantic Eye Optometric Services, P.a.. and his current practice location is 2803 Cashwell Dr, Ste A, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 778-2015.

Dr Kenneth Richard Statsick is licensed to practice in North Carolina (license number 2303) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407162043.

Contact Information

	Dr Kenneth Richard Statsick, OD
	2803 Cashwell Dr, Ste A, Goldsboro, NC 27534-4301
	(919) 778-2015
	(919) 778-4808

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Richard Statsick
Gender	Male
Speciality	Optometry
Experience	14 Years
Location	2803 Cashwell Dr, Goldsboro, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Richard Statsick attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2010

NPI Data:

NPI Number: 1407162043
Provider Enumeration Date: 08/20/2010
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 0547386492
Enrollment ID: I20130715000560

Medical Identifiers

Medical identifiers for Dr Kenneth Richard Statsick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407162043	NPI	-	NPPES
C374	Other	NC	MEDICARE PTAN
12143984	Other	NC	CAQH
5922830	Other	NC	MEDICAID PIN
5922830	Other	NC	MEDICAID PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC 4549 (Florida)	Secondary
152W00000X	Optometrist	2303 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlantic Eye Optometric Services, P.a..	1759691710	3

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 Kenneth Richard Statsick allows following entities to bill medicare on his behalf.

Provider Name	Atlantic Eye Optometric Services, P.a..
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710353479 PECOS PAC ID: 1759691710 Enrollment ID: O20151104001236

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 Kenneth Richard Statsick 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 Kenneth Richard Statsick, OD 2803 Cashwell Dr, Ste A, Goldsboro, NC 27534-4301 Ph: (919) 778-2015	Dr Kenneth Richard Statsick, OD 2803 Cashwell Dr, Ste A, Goldsboro, NC 27534-4301 Ph: (919) 778-2015

Reviews and Comments

Optometrist in Goldsboro, NC

Dr. William Ross Easterling, OD Optometrist Medicare: Medicare Enrolled Practice Location: 201 W Ash St, Suite 7, Goldsboro, NC 27530 Phone: 919-735-0613 Fax: 919-735-0183
William R Easterling Optometrist Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 W Ash Street, Ste 7, Goldsboro, NC 27530 Phone: 919-735-0613 Fax: 919-735-0183
Waynesborough Ophthalmology, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 103 Cox Blvd, Goldsboro, NC 27534 Phone: 919-734-8440 Fax: 919-734-9387
Alecia Barnes, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1002 N Spence Ave, Goldsboro, NC 27534 Phone: 919-881-0900
Amee Patel O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1002 N Spence Ave, Goldsboro, NC 27534 Phone: 919-751-5864 Fax: 919-751-3810
Dr. Amee Patel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1002 N Spence Ave, Goldsboro, NC 27534 Phone: 919-751-5864 Fax: 919-759-2909
Jeffrey Scott Wilkins, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 E Ash St, Goldsboro, NC 27530 Phone: 919-736-4319 Fax: 919-736-4320

Dr Kenneth Richard Statsick, OD - Medicare Optometrist in Goldsboro, NC