Dr Kimberly S Castellucci, OD is a medicare enrolled "Optometrist" provider in Wellsburg, West Virginia. Her current practice location is
99 7th St, Wellsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 737-3440.
Dr Kimberly S Castellucci is licensed to practice in West Virginia (license number 1082-OD) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023126018.
Healthcare Provider's Profile
| Full Name | Dr Kimberly S Castellucci |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 99 7th St, Wellsburg, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023126018
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799967352
- Enrollment ID: I20110303000648
Medical Identifiers
Medical identifiers for Dr Kimberly S Castellucci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023126018 | NPI | - | NPPES |
| 009235370 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1082-OD (West Virginia) | 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 Kimberly S Castellucci allows following entities to bill medicare on her behalf.
| Provider Name | Visionworks Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063579837
PECOS PAC ID: 4385639616
Enrollment ID: O20050628000780 |
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| Provider Name | Eyetique Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316956030
PECOS PAC ID: 6002090107
Enrollment ID: O20110414000546 |
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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 Kimberly S Castellucci 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 Kimberly S Castellucci, OD
9 Maple Ave,
Wheeling, WV 26003-5732
Ph: (757) 403-2405 | Dr Kimberly S Castellucci, OD
99 7th St,
Wellsburg, WV 26070-1656
Ph: (304) 737-3440 |
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