Dr Yanna T Kisala, OD in Waukesha, WI - Medicare Optometrist Provider

Dr Yanna T Kisala, OD is a medicare enrolled "Optometrist" provider in Waukesha, Wisconsin. Her current practice location is 203a E Sunset Dr, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 524-1130.

Dr Yanna T Kisala is licensed to practice in Wisconsin (license number 3137-035) 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 1013164292.

Contact Information

	Dr Yanna T Kisala, OD
	203a E Sunset Dr, Waukesha, WI 53189-7603
	(262) 524-1130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Yanna T Kisala
Gender	Female
Speciality	Optometrist
Location	203a E Sunset Dr, Waukesha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013164292
Provider Enumeration Date: 08/19/2008
Last Update Date: 07/13/2020

Medicare PECOS Information:

PECOS PAC ID: 0941340905
Enrollment ID: I20091223000113

Medical Identifiers

Medical identifiers for Dr Yanna T Kisala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013164292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3137-035 (Wisconsin)	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 Yanna T Kisala allows following entities to bill medicare on her behalf.

Provider Name	Visionworks Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154699445 PECOS PAC ID: 4385639616 Enrollment ID: O20120517000227

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 Yanna T Kisala 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 Yanna T Kisala, OD 203a E Sunset Dr, Waukesha, WI 53189-7603 Ph: (262) 524-1130	Dr Yanna T Kisala, OD 203a E Sunset Dr, Waukesha, WI 53189-7603 Ph: (262) 524-1130

Reviews and Comments

Optometrist in Waukesha, WI

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Dr Yanna T Kisala, OD - Medicare Optometrist in Waukesha, WI