Kellie London, in South Lake Tahoe, CA - Medicare Optometry Provider

Kellie London, is a medicare enrolled "Optometrist" provider in South Lake Tahoe, California. She went to Southern College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Truckee Family Eyecare Optometry Inc and her current practice location is 3637 Larch Ave, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (530) 544-3403.

Kellie London is licensed to practice in California (license number 34770) 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 1134710932.

Contact Information

	Kellie London,
	3637 Larch Ave, South Lake Tahoe, CA 96150-7481
	(530) 544-3403
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie London
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	3637 Larch Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie London attended and graduated from Southern College Of Optometry in 2020

NPI Data:

NPI Number: 1134710932
Provider Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5092123265
Enrollment ID: I20210428001476

Medical Identifiers

Medical identifiers for Kellie London such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134710932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34770 (California)	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. Kellie London allows following entities to bill medicare on her behalf.

Provider Name	Ski Run Optometry By Dr Maldonado And Dr London
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558957589 PECOS PAC ID: 3072927771 Enrollment ID: O20210120001611

Provider Name	Truckee Family Eyecare Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376262782 PECOS PAC ID: 0749666246 Enrollment ID: O20221006003135

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. Kellie London 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
Kellie London, 3637 Larch Ave, South Lake Tahoe, CA 96150-7481 Ph: (530) 544-3403	Kellie London, 3637 Larch Ave, South Lake Tahoe, CA 96150-7481 Ph: (530) 544-3403

Reviews and Comments

Optometrist in South Lake Tahoe, CA

William A. Downey O.d. Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3637 Larch Ave, Suite 2, South Lake Tahoe, CA 96150 Phone: 530-544-3403 Fax: 530-544-4032
Dr. H Robert Dykes Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 854 Emerald Bay Rd, Ste C, South Lake Tahoe, CA 96150 Phone: 530-544-2020 Fax: 530-544-1838
Dr. Neal Alan Niederman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 989 Tahoe Keys Blvd, #4, South Lake Tahoe, CA 96150 Phone: 530-544-9752
Dr. Richard Leland Kahn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2241 James Avenue, Suite 1, South Lake Tahoe, CA 96150 Phone: 530-544-9752 Fax: 530-544-9762
Dr. William Arthur Downey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3637 Larch Ave, Suite 2, South Lake Tahoe, CA 96150 Phone: 530-544-3403 Fax: 530-544-4032

Kellie London, - Medicare Optometrist in South Lake Tahoe, CA