Dr Kyle Lance Hibbert, OD is a medicare enrolled "Optometrist" provider in Ganado, Arizona. He went to Southern California College Of Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. His current practice location is
Us 191 & Sr 264, Ganado, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 755-4500.
Dr Kyle Lance Hibbert is licensed to practice in Arizona (license number OPT-002332) 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 1093092629.
Healthcare Provider's Profile
| Full Name | Dr Kyle Lance Hibbert |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | Us 191 & Sr 264, Ganado, Arizona |
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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 Kyle Lance Hibbert attended and graduated from Southern California College Of Optometry in 2011
NPI Data:
- NPI Number: 1093092629
- Provider Enumeration Date: 11/10/2011
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436301231
- Enrollment ID: I20161026001956
Medical Identifiers
Medical identifiers for Dr Kyle Lance Hibbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093092629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 829 (Montana) | Secondary |
| 152W00000X | Optometrist | OPT-002332 (Arizona) | 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 Lance Hibbert allows following entities to bill medicare on his behalf.
| Provider Name | Central Wyoming Optometric Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922293158
PECOS PAC ID: 3274629761
Enrollment ID: O20071015000067 |
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| Provider Name | Mountain View Optometric Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942918107
PECOS PAC ID: 1052758588
Enrollment ID: O20240320001584 |
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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 Lance Hibbert 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 Kyle Lance Hibbert, OD
Po Box 781,
Window Rock, AZ 86515-0781
Ph: (307) 696-3105 | Dr Kyle Lance Hibbert, OD
Us 191 & Sr 264,
Ganado, AZ 86505-7415
Ph: (928) 755-4500 |
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