Dr Kristen Jean Taddie, OD is a medicare enrolled "Optometrist" provider in N Syracuse, New York. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Moore Eye Care Llc and her current practice location is
125 Lawrence Rd E, N Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 455-5500.
Dr Kristen Jean Taddie is licensed to practice in New York (license number TUV007736) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831483585.
Healthcare Provider's Profile
| Full Name | Dr Kristen Jean Taddie |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 125 Lawrence Rd E, N Syracuse, New York |
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| Accepts Medicare Assignments | Yes. She 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 Kristen Jean Taddie graduated from medical school in 2011
NPI Data:
- NPI Number: 1831483585
- Provider Enumeration Date: 05/29/2011
- Last Update Date: 10/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 9436305737
- Enrollment ID: I20170919003423
Medical Identifiers
Medical identifiers for Dr Kristen Jean Taddie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831483585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TUV007736 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Moore Eye Care Llc | 0547152530 | 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 Kristen Jean Taddie allows following entities to bill medicare on her behalf.
| Provider Name | Moore Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689873820
PECOS PAC ID: 0547152530
Enrollment ID: O20040325001066 |
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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 Kristen Jean Taddie 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 Kristen Jean Taddie, OD
5100 W Taft Rd, Ste 4m,
Liverpool, NY 13088-3810
Ph: (315) 455-5500 | Dr Kristen Jean Taddie, OD
125 Lawrence Rd E,
N Syracuse, NY 13212-3844
Ph: (315) 455-5500 |
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