Katie Nicole Tancabel, OD is a medicare enrolled "Optometrist" provider in Annandale, Minnesota. She went to Illinois College Of Optometry At Chicago and graduated in 2008 and has 16 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Annandale Eye Clinic Inc, Cokato Eye Center and her current practice location is
500 Elm St E, Annandale, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 274-3701.
Katie Nicole Tancabel is licensed to practice in Minnesota (license number 3139) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376704940.
Healthcare Provider's Profile
| Full Name | Katie Nicole Tancabel |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 16 Years |
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| Location | 500 Elm St E, Annandale, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katie Nicole Tancabel attended and graduated from Illinois College Of Optometry At Chicago in 2008
NPI Data:
- NPI Number: 1376704940
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 02/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 7416021399
- Enrollment ID: I20080811000747
Medical Identifiers
Medical identifiers for Katie Nicole Tancabel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376704940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3139 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Annandale Eye Clinic Inc | 6800897661 | 3 |
| Cokato Eye Center | 8325169162 | 3 |
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. Katie Nicole Tancabel allows following entities to bill medicare on her behalf.
| Provider Name | Annandale Eye Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629148614
PECOS PAC ID: 6800897661
Enrollment ID: O20070122000134 |
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| Provider Name | Cokato Eye Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245303825
PECOS PAC ID: 8325169162
Enrollment ID: O20110406000201 |
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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. Katie Nicole Tancabel 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 |
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Katie Nicole Tancabel, OD
500 Elm St E, Po Box 128,
Annandale, MN 55302-1149
Ph: (320) 274-3701 | Katie Nicole Tancabel, OD
500 Elm St E,
Annandale, MN 55302-1149
Ph: (320) 274-3701 |
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