Jenna Vergeldt, OD - Medicare Optometrist in Oklahoma City, OK

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Jenna Vergeldt, OD is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. Her current practice location is 921 Ne 13th St, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 456-4017.

Jenna Vergeldt is licensed to practice in Texas (license number 10401T) 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 1053943258.

Contact Information

Jenna Vergeldt, OD
921 Ne 13th St,
Oklahoma City, OK 73104-5007
(405) 456-4017
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJenna Vergeldt
GenderFemale
SpecialityOptometrist
Location921 Ne 13th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053943258
  • Provider Enumeration Date: 02/06/2020
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890235725
  • Enrollment ID: I20240906001160

Medical Identifiers

Medical identifiers for Jenna Vergeldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053943258NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10401T (Texas)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. Jenna Vergeldt allows following entities to bill medicare on her behalf.
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1467114207
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558

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. Jenna Vergeldt 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
Jenna Vergeldt, OD
2034 Town Road 492,
International Falls, MN 56649-8707

Ph: (218) 417-0739		Jenna Vergeldt, OD
921 Ne 13th St,
Oklahoma City, OK 73104-5007

Ph: (405) 456-4017

Reviews and Comments


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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.