Dr Tyler E Kirk, OD is a medicare enrolled "Optometrist" provider in Ripon, California. His current practice location is
423 W Main St, Ripon, California. You can reach out to his office (for appointments etc.) via phone at
(209) 599-3115.
Dr Tyler E Kirk is licensed to practice in California (license number 14275) 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 1215216874.
Healthcare Provider's Profile
| Full Name | Dr Tyler E Kirk |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 423 W Main St, Ripon, California |
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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: 1215216874
- Provider Enumeration Date: 08/12/2011
- Last Update Date: 04/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 0840450474
- Enrollment ID: I20120319000818
Medical Identifiers
Medical identifiers for Dr Tyler E Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215216874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 14275 (California) | 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 Tyler E Kirk allows following entities to bill medicare on his behalf.
| Provider Name | Duane Kirk |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1457416190
PECOS PAC ID: 2961662457
Enrollment ID: I20120320000740 |
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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 Tyler E Kirk 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 Tyler E Kirk, OD
423 W Main St,
Ripon, CA 95366-2425
Ph: (209) 599-3115 | Dr Tyler E Kirk, OD
423 W Main St,
Ripon, CA 95366-2425
Ph: (209) 599-3115 |
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