Jason Kowallis, OD in Roosevelt, UT - Medicare Optometry Provider

Jason Kowallis, OD is a medicare enrolled "Optometrist" provider in Roosevelt, Utah. He went to Southern College Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Roosevelt Vision Clinic Pc and his current practice location is 165 W 200 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-5890.

Jason Kowallis is licensed to practice in Utah (license number 8288486) 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 1942561311.

Contact Information

	Jason Kowallis, OD
	165 W 200 N, Roosevelt, UT 84066-2834
	(435) 722-5890
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Kowallis
Gender	Male
Speciality	Optometry
Experience	12 Years
Location	165 W 200 N, Roosevelt, Utah
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:

Jason Kowallis attended and graduated from Southern College Of Optometry in 2012

NPI Data:

NPI Number: 1942561311
Provider Enumeration Date: 06/01/2012
Last Update Date: 02/02/2017

Medicare PECOS Information:

PECOS PAC ID: 8921262056
Enrollment ID: I20120620000820

Medical Identifiers

Medical identifiers for Jason Kowallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942561311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8288486 (Utah)	Primary
152WV0400X	Optometrist - Vision Therapy	8288486 (Utah)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roosevelt Vision Clinic Pc	9830269844	3

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. Jason Kowallis allows following entities to bill medicare on his behalf.

Provider Name	Roosevelt Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710973052 PECOS PAC ID: 9830269844 Enrollment ID: O20080603000410

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. Jason Kowallis 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
Jason Kowallis, OD 165 W 200 N, Roosevelt, UT 84066-2834 Ph: (435) 722-5890	Jason Kowallis, OD 165 W 200 N, Roosevelt, UT 84066-2834 Ph: (435) 722-5890

Reviews and Comments

Optometrist in Roosevelt, UT

Roosevelt Vision Clinic, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732
Jon Preston Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732
Mr. Scott H Kowallis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732
Cade John Kowallis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N # 71-1, Roosevelt, UT 84066 Phone: 435-823-2984

Jason Kowallis, OD - Medicare Optometrist in Roosevelt, UT