Dr Lisa Marie Jeziorny Kerouac, OD in Belvidere, IL

Dr Lisa Marie Jeziorny Kerouac, OD is a medicare enrolled "Optometrist" provider in Belvidere, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Brent Dunlap Od Pc and her current practice location is 1400 Big Thunder Blvd, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 547-3456.

Dr Lisa Marie Jeziorny Kerouac is licensed to practice in Illinois (license number 046010449) 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 1588951222.

Contact Information

	Dr Lisa Marie Jeziorny Kerouac, OD
	1400 Big Thunder Blvd, Belvidere, IL 61008-1726
	(815) 547-3456
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Marie Jeziorny Kerouac
Gender	Female
Speciality	Optometry
Experience	13 Years
Location	1400 Big Thunder Blvd, Belvidere, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lisa Marie Jeziorny Kerouac attended and graduated from Illinois College Of Optometry At Chicago in 2011

NPI Data:

NPI Number: 1588951222
Provider Enumeration Date: 07/01/2011
Last Update Date: 01/28/2020

Medicare PECOS Information:

PECOS PAC ID: 7416127857
Enrollment ID: I20110823000476

Medical Identifiers

Medical identifiers for Dr Lisa Marie Jeziorny Kerouac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588951222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046010449 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brent Dunlap Od Pc	4183649510	3

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 Lisa Marie Jeziorny Kerouac allows following entities to bill medicare on her behalf.

Provider Name	Brent Dunlap Od Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073647293 PECOS PAC ID: 4183649510 Enrollment ID: O20051013000920

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 Lisa Marie Jeziorny Kerouac 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 Lisa Marie Jeziorny Kerouac, OD 15424 Sheffield Ln, Orland Park, IL 60462-6719 Ph: (708) 805-7618	Dr Lisa Marie Jeziorny Kerouac, OD 1400 Big Thunder Blvd, Belvidere, IL 61008-1726 Ph: (815) 547-3456

Reviews and Comments

Optometrist in Belvidere, IL

Family Optical Centre Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 No State St, Belvidere, IL 61008 Phone: 815-544-3431 Fax: 815-544-6932
Dr. Norbert J Kulpinski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 304 N State St, Belvidere, IL 61008 Phone: 815-544-3431 Fax: 815-544-6932
William E. Pawlak P C Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-5950 Fax: 815-547-7057
Family Optical Centre Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 N State St, Belvidere, IL 61008 Phone: 815-544-3431 Fax: 815-544-6932
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 Belvidere Rd, Belvidere, IL 61008 Phone: 815-516-0380
William Pawlak, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-5950 Fax: 815-547-7057

Dr Lisa Marie Jeziorny Kerouac, OD - Medicare Optometrist in Belvidere, IL