Dr Kent Kresovich, OD is a medicare enrolled "Optometrist" provider in Fulton, New York. His current practice location is
115 Rochester Street, Empire Vision Centers, Fulton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 598-8505.
Dr Kent Kresovich is licensed to practice in New York (license number TUV0051721) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568423598.
Healthcare Provider's Profile
Full Name | Dr Kent Kresovich |
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Gender | Male |
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Speciality | Optometrist |
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Location | 115 Rochester Street, Fulton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568423598
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204990146
- Enrollment ID: I20090121000629
Medical Identifiers
Medical identifiers for Dr Kent Kresovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568423598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TUV0051721 (New York) | 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 Kent Kresovich allows following entities to bill medicare on his behalf.
Provider Name | Empire Vision Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
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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 Kent Kresovich 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 Kent Kresovich, OD 2921 Erie Blvd East, Syracuse, NY 13224 Ph: (315) 445-7465 | Dr Kent Kresovich, OD 115 Rochester Street, Empire Vision Centers, Fulton, NY 13069 Ph: (315) 598-8505 |
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