Jason R Kolodziejczyk, OD in Fremont, OH - Medicare Optometry Provider

Jason R Kolodziejczyk, OD is a medicare enrolled "Optometrist" provider in Fremont, Ohio. He went to Ohio State University - College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Centers Of Northwest Ohio Llc and his current practice location is 2311 Hayes Ave, Fremont, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 334-8121.

Jason R Kolodziejczyk is licensed to practice in Ohio (license number PENDING) 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 1124052626.

Contact Information

	Jason R Kolodziejczyk, OD
	2311 Hayes Ave, Fremont, OH 43420-2634
	(419) 334-8121
	(419) 332-9351

Map and Direction

Healthcare Provider's Profile

Full Name	Jason R Kolodziejczyk
Gender	Male
Speciality	Optometry
Experience	18 Years
Location	2311 Hayes Ave, Fremont, Ohio
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 R Kolodziejczyk attended and graduated from Ohio State University - College Of Optometry in 2006

NPI Data:

NPI Number: 1124052626
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/11/2012

Medicare PECOS Information:

PECOS PAC ID: 2769486513
Enrollment ID: I20060908000359

Medical Identifiers

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

Identifier	Type	State	Issuer
1124052626	NPI	-	NPPES
2677214	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	PENDING (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Centers Of Northwest Ohio Llc	0446314892	5

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 R Kolodziejczyk allows following entities to bill medicare on his behalf.

Provider Name	Eye Centers Of Northwest Ohio Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124284518 PECOS PAC ID: 0446314892 Enrollment ID: O20090129000189

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 R Kolodziejczyk 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 R Kolodziejczyk, OD 2311 W Hayes Ave, Fremont, OH 43420 Ph: (419) 334-8121	Jason R Kolodziejczyk, OD 2311 Hayes Ave, Fremont, OH 43420-2634 Ph: (419) 334-8121

Reviews and Comments

Optometrist in Fremont, OH

Dr. Alexzandra Amelia Rudinoff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121
Eye Centers Of Northwest Ohio Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2311 Hayes Ave, Suite B, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351
Stacy Pasch Rellinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351
Mark A. Mathews, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 218 S. Front St, Fremont, OH 43420 Phone: 419-332-4309 Fax: 419-332-3834
Walter H Oxley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 S Front St, Fremont, OH 43420 Phone: 419-334-9779 Fax: 419-334-4545
Gregory J Derodes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2311 Hayes Ave, Fremont, OH 43420 Phone: 419-334-8121 Fax: 419-332-9351

Jason R Kolodziejczyk, OD - Medicare Optometrist in Fremont, OH