Dr Kelly Glass, OD - Medicare Optometrist in Broken Arrow, OK

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Dr Kelly Glass, OD is a medicare enrolled "Optometrist" provider in Broken Arrow, Oklahoma. She went to University Of Houston - College Of Optometry and graduated in 2014 and has 11 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Med Southwest Pllc and her current practice location is 2500 W New Orleans St, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 893-3769.

Dr Kelly Glass is licensed to practice in Oklahoma (license number 2887) 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 1023425675.

Contact Information

Dr Kelly Glass, OD
2500 W New Orleans St,
Broken Arrow, OK 74011-1574
(918) 893-3769
(918) 286-8281

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Glass
GenderFemale
SpecialityOptometry
Experience11 Years
Location2500 W New Orleans St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Glass attended and graduated from University Of Houston - College Of Optometry in 2014
  NPI Data:
  • NPI Number: 1023425675
  • Provider Enumeration Date: 07/15/2014
  • Last Update Date: 03/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416273529
  • Enrollment ID: I20161215001722

Medical Identifiers

Medical identifiers for Dr Kelly Glass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023425675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2887 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Med Southwest Pllc4082952874177

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. Dr Kelly Glass allows following entities to bill medicare on her behalf.
Provider NameNortheastern State University College Of Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437106333
PECOS PAC ID: 0941112528
Enrollment ID: O20031103000296
Provider NameDavid R. Free, O.d. Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598824914
PECOS PAC ID: 4587716998
Enrollment ID: O20090716000094
Provider NameTahlequah Family Vision Clinic Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033313754
PECOS PAC ID: 5597963553
Enrollment ID: O20120326000351
Provider NameMed Southwest Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174089478
PECOS PAC ID: 4082952874
Enrollment ID: O20190411000911

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. Dr Kelly Glass 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 AddressPractice Location Address
Dr Kelly Glass, OD
1950 Old Gallows Rd Ste 520,
Vienna, VA 22182-3970

Ph: (703) 847-8899		Dr Kelly Glass, OD
2500 W New Orleans St,
Broken Arrow, OK 74011-1574

Ph: (918) 893-3769

Reviews and Comments


Optometrist in Broken Arrow, OK

Colby Beats, OD
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Practice Location: 521s Aspen Ave, Broken Arrow, OK 74012
Phone: 918-258-9999    Fax: 918-258-2850
Dr. James Thirion, O.D.
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Practice Location: 3505 W Kenosha St, Broken Arrow, OK 74012
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Ba Vision
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Practice Location: 521 S Aspen Ave, Broken Arrow, OK 74012
Phone: 918-258-9999    Fax: 918-258-2850
Dr. Alfonso Hernandez Jr., OD
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Practice Location: 3505 W Kenosha St, Broken Arrow, OK 74012
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Thomas H Berenson O D P C
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Medicare: Not Enrolled in Medicare
Practice Location: 3300 S Aspen Ave, Ste D, Broken Arrow, OK 74012
Phone: 918-451-2020    Fax: 918-449-9086
Dr. Tracy L Shoemaker, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 4008 S Elm Pl, Ste A, Broken Arrow, OK 74011
Phone: 918-455-2020    Fax: 918-455-4030

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.