Jordan Dravitzki, OD in Ellensburg, WA - Medicare Optometrist Provider

Jordan Dravitzki, OD is a medicare enrolled "Optometrist" provider in Ellensburg, Washington. His current practice location is 2201 W Dolarway Rd, Ellensburg, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 925-1000.

Jordan Dravitzki is licensed to practice in Washington (license number 61069395) 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 1922624147.

Contact Information

	Jordan Dravitzki, OD
	2201 W Dolarway Rd, Ellensburg, WA 98926-8228
	(509) 925-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Dravitzki
Gender	Male
Speciality	Optometrist
Location	2201 W Dolarway Rd, Ellensburg, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922624147
Provider Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020

Medicare PECOS Information:

PECOS PAC ID: 1254755333
Enrollment ID: I20200722001425

Medical Identifiers

Medical identifiers for Jordan Dravitzki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922624147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	61069395 (Washington)	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. Jordan Dravitzki allows following entities to bill medicare on his behalf.

Provider Name	Valley Vision Associates Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710021944 PECOS PAC ID: 8729187893 Enrollment ID: O20070702000140

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. Jordan Dravitzki 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
Jordan Dravitzki, OD Po Box 82, Stromsburg, NE 68666-0082 Ph: (402) 764-0457	Jordan Dravitzki, OD 2201 W Dolarway Rd, Ellensburg, WA 98926-8228 Ph: (509) 925-1000

Reviews and Comments

Optometrist in Ellensburg, WA

Jackelyn Theresa Meyer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474
Casey Oltman, Optometrist Medicare: Medicare Enrolled Practice Location: 2201 W Dolarway Rd, Ellensburg, WA 98926 Phone: 509-925-1000
Family Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639
Dr. William R. Meyer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 N Pine St, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474
Family Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639
Ellensburg Eye And Contact Lens Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 N Pine St, Ellensburg, WA 98926 Phone: 509-925-1000 Fax: 509-925-2474
Dr. Byron Eugene Thomas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd Ave, Ellensburg, WA 98926 Phone: 509-925-9873 Fax: 509-962-1639

Jordan Dravitzki, OD - Medicare Optometrist in Ellensburg, WA