Jackson Roland Pond, OD in Brookings, SD - Medicare Optometrist Provider

Jackson Roland Pond, OD is a medicare enrolled "Optometrist" provider in Brookings, South Dakota. His current practice location is 606 20th St S, Brookings, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 627-1212.

Jackson Roland Pond is licensed to practice in South Dakota (license number 811) 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 1801640370.

Contact Information

	Jackson Roland Pond, OD
	606 20th St S, Brookings, SD 57006-4671
	(605) 627-1212
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackson Roland Pond
Gender	Male
Speciality	Optometrist
Location	606 20th St S, Brookings, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801640370
Provider Enumeration Date: 04/12/2024
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7618418294
Enrollment ID: I20240923003220

Medical Identifiers

Medical identifiers for Jackson Roland Pond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801640370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	811 (South Dakota)	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. Jackson Roland Pond allows following entities to bill medicare on his behalf.

Provider Name	Cp Twitero, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770884025 PECOS PAC ID: 9436178167 Enrollment ID: O20051111000063

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. Jackson Roland Pond 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
Jackson Roland Pond, OD 1310 6th St Apt 201, Brookings, SD 57006-2382 Ph: (507) 626-1010	Jackson Roland Pond, OD 606 20th St S, Brookings, SD 57006-4671 Ph: (605) 627-1212

Reviews and Comments

Optometrist in Brookings, SD

Wyatt Nash-keller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1208 22nd Ave S, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594
Ms. Trisha J Morehouse, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 606 20th St S, Brookings, SD 57006 Phone: 605-627-1212 Fax: 605-627-1313
Dr. Clayton Paul Twitero, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 606 20th St S, Brookings, SD 57006 Phone: 605-627-1212 Fax: 605-627-1313
Jason Jahn Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 6th St, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594
Optometrist Medicare: Medicare Enrolled Practice Location: 112 22nd Ave S, Brookings, SD 57006 Phone: 605-692-5173 Fax: 605-692-6710
Jason Jahn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1208 22nd Ave S, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594
Wyatt Nash-keller Od Prof Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 22nd Ave S, Brookings, SD 57006 Phone: 605-370-6066

Jackson Roland Pond, OD - Medicare Optometrist in Brookings, SD