Dr Leslie R Masciarelli Kisch, OD in Detroit Lakes, MN

Dr Leslie R Masciarelli Kisch, OD is a medicare enrolled "Optometrist" provider in Detroit Lakes, Minnesota. Her current practice location is 918 Washington Ave, Optical Eyedeas, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 847-8021.

Dr Leslie R Masciarelli Kisch is licensed to practice in Minnesota (license number 2319) 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 1699876417.

Contact Information

	Dr Leslie R Masciarelli Kisch, OD
	918 Washington Ave, Optical Eyedeas, Detroit Lakes, MN 56501
	(218) 847-8021
	(218) 846-9552

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leslie R Masciarelli Kisch
Gender	Female
Speciality	Optometrist
Location	918 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699876417
Provider Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3072595263
Enrollment ID: I20040602000730

Medical Identifiers

Medical identifiers for Dr Leslie R Masciarelli Kisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699876417	NPI	-	NPPES
2202047	Other	MN	MEDICA
36B56MA	Other	MN	BCBS
2202048	Other	MN	MEDICA
2207652	Other	MN	MEDICA
283R7MA	Other	MN	BCBS
283R8MA	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2319 (Minnesota)	Primary
152W00000X	Optometrist	490 (North Dakota)	Secondary

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 Leslie R Masciarelli Kisch 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 Leslie R Masciarelli Kisch, OD 706 12th St Se, Barnesville, MN 56514-3960 Ph: (218) 354-7065	Dr Leslie R Masciarelli Kisch, OD 918 Washington Ave, Optical Eyedeas, Detroit Lakes, MN 56501 Ph: (218) 847-8021

Reviews and Comments

Optometrist in Detroit Lakes, MN

Alexander Earl Moses, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Morrison Eye Care Optometrists, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1244 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-2020 Fax: 218-847-6165
Dr. Gina Hansen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1234 Washington Ave Ste A, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dale K Hoffmann, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1583 Highway 10 W, Detroit Lakes, MN 56501 Phone: 218-847-7245 Fax: 218-847-8453
Sanford Health Detroit Lakes Eye Center & Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Joy M Quitberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000
Dale Hoffmann, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1583 Highway 10 W, Detroit Lakes, MN 56501 Phone: 218-847-7245 Fax: 218-847-8453

Dr Leslie R Masciarelli Kisch, OD - Medicare Optometrist in Detroit Lakes, MN