Jordan Frederick Keith, OD in Fridley, MN - Medicare Optometry Provider

Jordan Frederick Keith, OD is a medicare enrolled "Optometrist" provider in Fridley, Minnesota. He went to Pacific University - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Vision Specialists Of Omaha Llc, Vision Specialists Of Papillion Llc and his current practice location is 1202 Moore Lake Dr E, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 574-0075.

Jordan Frederick Keith is licensed to practice in Minnesota (license number 3153) 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 1861646937.

Contact Information

	Jordan Frederick Keith, OD
	1202 Moore Lake Dr E, Fridley, MN 55432-5170
	(763) 574-0075
	(763) 574-0594

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Frederick Keith
Gender	Male
Speciality	Optometry
Experience	20 Years
Location	1202 Moore Lake Dr E, Fridley, Minnesota
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:

Jordan Frederick Keith attended and graduated from Pacific University - College Of Optometry in 2004

NPI Data:

NPI Number: 1861646937
Provider Enumeration Date: 11/15/2008
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7618014952
Enrollment ID: I20221018001896

Medical Identifiers

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

Identifier	Type	State	Issuer
1861646937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3153 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vision Specialists Of Omaha Llc	7719212307	3
Vision Specialists Of Papillion Llc	8729320411	2

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 Frederick Keith allows following entities to bill medicare on his behalf.

Provider Name	Vision Specialists Of Papillion Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659859734 PECOS PAC ID: 8729320411 Enrollment ID: O20190429002455

Provider Name	Vision Specialists Of Omaha Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912564212 PECOS PAC ID: 7719212307 Enrollment ID: O20190718003234

Provider Name	Vision Specialists On Harrison Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407457690 PECOS PAC ID: 7911319116 Enrollment ID: O20201211001611

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 Frederick Keith 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 Frederick Keith, OD 1202 Moore Lake Dr E, Fridley, MN 55432-5170 Ph: (763) 574-0075	Jordan Frederick Keith, OD 1202 Moore Lake Dr E, Fridley, MN 55432-5170 Ph: (763) 574-0075

Reviews and Comments

Optometrist in Fridley, MN

Steven Alex Rizzi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5700
Dr. Carol Elizabeth Mcmanman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8450 University Ave Ne, Fridley, MN 55432 Phone: 763-780-9553 Fax: 763-780-9632
Alicia Marie Alvarado, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075 Fax: 763-574-0594
Megan Haresdin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075
Dr. Steve Brent Nauman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-574-0075
Norman Paul Reznicow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 763-571-1800 Fax: 763-571-1880
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 1202 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-567-0075 Fax: 763-574-0594

Jordan Frederick Keith, OD - Medicare Optometrist in Fridley, MN