Dr Krysten L Avery, OD is a medicare enrolled "Optometrist" provider in North New Hyde Park, New York. Her current practice location is
1979 Marcus Ave Ste 206, North New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at
(877) 506-0002.
Dr Krysten L Avery is licensed to practice in Michigan (license number 4901004395) 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 1770670697.
Healthcare Provider's Profile
| Full Name | Dr Krysten L Avery |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1979 Marcus Ave Ste 206, North New Hyde Park, 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. |
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NPI Data:
- NPI Number: 1770670697
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 06/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628290392
- Enrollment ID: I20141112002483
Medical Identifiers
Medical identifiers for Dr Krysten L Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770670697 | NPI | - | NPPES |
| 1770670697 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TPOP10 (Florida) | Secondary |
| 152W00000X | Optometrist | 4901004395 (Michigan) | 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 Krysten L Avery allows following entities to bill medicare on her behalf.
| Provider Name | Southwest Vision Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871852939
PECOS PAC ID: 8426209107
Enrollment ID: O20121105000554 |
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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 Krysten L Avery 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 Krysten L Avery, OD
8256 Nadell St,
Delton, MI 49046-8202
Ph: (269) 267-7902 | Dr Krysten L Avery, OD
1979 Marcus Ave Ste 206,
North New Hyde Park, NY 11042-1002
Ph: (877) 506-0002 |
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