Dr Ketan Harshadray Kutlerywala, OD is a medicare enrolled "Optometrist" provider in Maywood, New Jersey. He went to International American University At Puerto Rico - School Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. His current practice location is
63 W Pleasant Ave, Maywood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 845-4700.
Dr Ketan Harshadray Kutlerywala is licensed to practice in New York (license number 7391) 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 1497861033.
Healthcare Provider's Profile
| Full Name | Dr Ketan Harshadray Kutlerywala |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 63 W Pleasant Ave, Maywood, New Jersey |
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| Accepts Medicare Assignments | Yes. He 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 Ketan Harshadray Kutlerywala attended and graduated from International American University At Puerto Rico - School Of Optometry in 2004
NPI Data:
- NPI Number: 1497861033
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254598592
- Enrollment ID: I20201014001612
Medical Identifiers
Medical identifiers for Dr Ketan Harshadray Kutlerywala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497861033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 270A00699500 (New Jersey) | Secondary |
| 152W00000X | Optometrist | 6818T (Texas) | Secondary |
| 152W00000X | Optometrist | 7391 (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 Ketan Harshadray Kutlerywala allows following entities to bill medicare on his behalf.
| Provider Name | Innovision Optometry Nj Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922608728
PECOS PAC ID: 4183034663
Enrollment ID: O20201112001297 |
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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 Ketan Harshadray Kutlerywala 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 Ketan Harshadray Kutlerywala, OD
310 Windsor Hwy,
New Windsor, NY 12553-6908
Ph: (845) 541-9689 | Dr Ketan Harshadray Kutlerywala, OD
63 W Pleasant Ave,
Maywood, NJ 07607-1334
Ph: (201) 845-4700 |
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