Kacey Dustin Blaylock, OD in Boise, ID - Medicare Optometry Provider

Kacey Dustin Blaylock, OD is a medicare enrolled "Optometrist" provider in Boise, Idaho. He went to Pacific University - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Hollingshead Eye Center, Pc and his current practice location is 360 E Mallard Dr Ste 110, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 336-8700.

Kacey Dustin Blaylock is licensed to practice in Idaho (license number ODP-100370) 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 1164871489.

Contact Information

	Kacey Dustin Blaylock, OD
	360 E Mallard Dr Ste 110, Boise, ID 83706-3945
	(208) 336-8700
	(208) 426-0902

Map and Direction

Healthcare Provider's Profile

Full Name	Kacey Dustin Blaylock
Gender	Male
Speciality	Optometry
Experience	8 Years
Location	360 E Mallard Dr Ste 110, Boise, Idaho
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:

Kacey Dustin Blaylock attended and graduated from Pacific University - College Of Optometry in 2016

NPI Data:

NPI Number: 1164871489
Provider Enumeration Date: 06/07/2016
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2062705460
Enrollment ID: I20160722000745

Medical Identifiers

Medical identifiers for Kacey Dustin Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164871489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ODP-100370 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hollingshead Eye Center, Pc	9830133214	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. Kacey Dustin Blaylock allows following entities to bill medicare on his behalf.

Provider Name	Hollingshead Eye Center, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871643585 PECOS PAC ID: 9830133214 Enrollment ID: O20050616000317

Provider Name	Lwk P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851624019 PECOS PAC ID: 5890824247 Enrollment ID: O20100524000915

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. Kacey Dustin Blaylock 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
Kacey Dustin Blaylock, OD 360 E Mallard Dr Ste 110, Boise, ID 83706-3945 Ph: (208) 336-8700	Kacey Dustin Blaylock, OD 360 E Mallard Dr Ste 110, Boise, ID 83706-3945 Ph: (208) 336-8700

Reviews and Comments

Optometrist in Boise, ID

Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910

Kacey Dustin Blaylock, OD - Medicare Optometrist in Boise, ID