- Medicare in Crystal City, MO

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is a medicare enrolled "Ophthalmology" provider in Crystal City, Missouri. Their current practice location is 1400 Hwy 61 South, Suite 130, Crystal City, Missouri. You can reach out to their office (for appointments etc.) via phone at (636) 937-8855.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740201482.

Contact Information

1400 Hwy 61 South, Suite 130,
Crystal City, MO 63019
(636) 937-8855
(636) 931-6561

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location1400 Hwy 61 South, Crystal City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740201482
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 11/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991741274
  • Enrollment ID: O20050708000289

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740201482NPI-NPPES
0695040001OtherMONORIDIAN DME MAC
CN1852OtherMOMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
156FX1800XTechnician/technologist - Optician (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRandall E Nacke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093828782
PECOS PAC ID: 2567561194
Enrollment ID: I20070622000449
Provider NameHumeyra D Karacal
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144316944
PECOS PAC ID: 4587764808
Enrollment ID: I20070716000091
Provider NameMark Holst Spurrier
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437158805
PECOS PAC ID: 3971667825
Enrollment ID: I20110401000329
Provider NameBradford Blaine Kesler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548269954
PECOS PAC ID: 6608079041
Enrollment ID: I20110420000123

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. 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 AddressPractice Location Address

Po Box 13,
Crystal City, MO 63019-0013

Ph: (636) 937-8855
1400 Hwy 61 South, Suite 130,
Crystal City, MO 63019

Ph: (636) 937-8855

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.