Dr Ryan Kyle Petty, OD in Paoli, IN - Medicare Optometry Provider

Dr Ryan Kyle Petty, OD is a medicare enrolled "Optometrist" provider in Paoli, Indiana. He went to Indiana University - School Of Optometry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southern Indiana Eye Care Llc and his current practice location is 488 W Hospital Rd, Paoli, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 723-4752.

Dr Ryan Kyle Petty is licensed to practice in Indiana (license number 18003259A) 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 1174591960.

Contact Information

	Dr Ryan Kyle Petty, OD
	488 W Hospital Rd, Paoli, IN 47454-8807
	(812) 723-4752
	(812) 723-4753

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan Kyle Petty
Gender	Male
Speciality	Optometry
Experience	21 Years
Location	488 W Hospital Rd, Paoli, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ryan Kyle Petty attended and graduated from Indiana University - School Of Optometry in 2003

NPI Data:

NPI Number: 1174591960
Provider Enumeration Date: 03/09/2006
Last Update Date: 12/11/2007

Medicare PECOS Information:

PECOS PAC ID: 5597944231
Enrollment ID: I20110126000898

Medical Identifiers

Medical identifiers for Dr Ryan Kyle Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174591960	NPI	-	NPPES
200460220A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003259A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Indiana Eye Care Llc	0840505285	2

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 Ryan Kyle Petty allows following entities to bill medicare on his behalf.

Provider Name	Southern Indiana Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720475965 PECOS PAC ID: 0840505285 Enrollment ID: O20150814012841

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 Ryan Kyle Petty 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 Ryan Kyle Petty, OD 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4752	Dr Ryan Kyle Petty, OD 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4752

Reviews and Comments

Optometrist in Paoli, IN

Dr. Eric Marshall Harmon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753
Dr. Robert David Cole Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Suite 1, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753
Drs Harmon Petty And Cole Optometrist Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753
Southern Indiana Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753

Dr Ryan Kyle Petty, OD - Medicare Optometrist in Paoli, IN