Dr Kevin Michael Fountain, OD is a medicare enrolled "Optometrist" provider in Milan, Michigan. He went to Ferris State College - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Fountain Optometry, P.c. and his current practice location is
7 E Main St, Milan, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 439-2020.
Dr Kevin Michael Fountain is licensed to practice in Michigan (license number 4901004264) 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 1376563775.
Healthcare Provider's Profile
| Full Name | Dr Kevin Michael Fountain |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 7 E Main St, Milan, Michigan |
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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 Kevin Michael Fountain attended and graduated from Ferris State College - College Of Optometry in 2004
NPI Data:
- NPI Number: 1376563775
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052319399
- Enrollment ID: I20061120000472
Medical Identifiers
Medical identifiers for Dr Kevin Michael Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376563775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901004264 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fountain Optometry, P.c. | 3678571916 | 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 Kevin Michael Fountain allows following entities to bill medicare on his behalf.
| Provider Name | Fountain Optometry, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003991183
PECOS PAC ID: 3678571916
Enrollment ID: O20061120000482 |
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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 Kevin Michael Fountain 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 Kevin Michael Fountain, OD
7 E Main St,
Milan, MI 48160-1248
Ph: (734) 439-2020 | Dr Kevin Michael Fountain, OD
7 E Main St,
Milan, MI 48160-1248
Ph: (734) 439-2020 |
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