Dr Kyle Daniel Snyder, OD is a medicare enrolled "Optometrist" provider in Richton Park, Illinois. His current practice location is
22401 Central Ave, Richton Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 898-9994.
Dr Kyle Daniel Snyder is licensed to practice in Illinois (license number 046010620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073863965.
Healthcare Provider's Profile
| Full Name | Dr Kyle Daniel Snyder |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 22401 Central Ave, Richton Park, Illinois |
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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: 1073863965
- Provider Enumeration Date: 09/18/2012
- Last Update Date: 06/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850546821
- Enrollment ID: I20130222000218
Medical Identifiers
Medical identifiers for Dr Kyle Daniel Snyder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073863965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046010620 (Illinois) | 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 Kyle Daniel Snyder allows following entities to bill medicare on his behalf.
| Provider Name | Dr Jorge A Benavente Optometrist Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063740744
PECOS PAC ID: 2860533742
Enrollment ID: O20100114000391 |
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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 Kyle Daniel Snyder 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 Kyle Daniel Snyder, OD
234 Lincolnshire Ln,
Bolingbrook, IL 60440-1921
Ph: (708) 265-1957 | Dr Kyle Daniel Snyder, OD
22401 Central Ave,
Richton Park, IL 60471-2062
Ph: (708) 898-9994 |
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