Kelly C-k Tierney, OD in Flint, MI - Medicare Optometrist Provider

Kelly C-k Tierney, OD is a medicare enrolled "Optometrist" provider in Flint, Michigan. Her current practice location is 4281 Lennon Rd, Flint, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 720-9111.

Kelly C-k Tierney is licensed to practice in Michigan (license number 4901004430) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073706578.

Contact Information

	Kelly C-k Tierney, OD
	4281 Lennon Rd, Flint, MI 48507-1024
	(810) 720-9111
	(810) 720-9119

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly C-k Tierney
Gender	Female
Speciality	Optometrist
Location	4281 Lennon Rd, Flint, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073706578
Provider Enumeration Date: 08/20/2007
Last Update Date: 09/26/2012

Medicare PECOS Information:

PECOS PAC ID: 8022195155
Enrollment ID: I20120928000504

Medical Identifiers

Medical identifiers for Kelly C-k Tierney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073706578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5725 (Ohio)	Secondary
152W00000X	Optometrist	4901004430 (Michigan)	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. Kelly C-k Tierney allows following entities to bill medicare on her behalf.

Provider Name	Michigan Vision Institute Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780746081 PECOS PAC ID: 1658317748 Enrollment ID: O20050629000285

Provider Name	Svs Vision Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507

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. Kelly C-k Tierney 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
Kelly C-k Tierney, OD 4281 Lennon Rd, Flint, MI 48507-1024 Ph: (810) 720-9111	Kelly C-k Tierney, OD 4281 Lennon Rd, Flint, MI 48507-1024 Ph: (810) 720-9111

Reviews and Comments

Optometrist in Flint, MI

Deborah Ann Sheere-gallatin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141
Mr. Richard D Frazier Jr., OD Optometrist Medicare: Medicare Enrolled Practice Location: 5096 Corunna Rd, Flint, MI 48532 Phone: 810-733-6460 Fax: 810-733-5443
Bradley E Habermehl Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4091 Richfield Rd, Flint, MI 48506 Phone: 810-736-0710 Fax: 810-736-2713
Dr. Estefany Colon Lopez, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4313 Corunna Rd, Flint, MI 48532 Phone: 810-733-5544 Fax: 810-733-3197
Michigan Eye Institute Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141
Jennifer J. S. Risting, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111

Kelly C-k Tierney, OD - Medicare Optometrist in Flint, MI