Kenneth D Stults, OD in Creston, IA - Medicare Optometry Provider

Kenneth D Stults, OD is a medicare enrolled "Optometrist" provider in Creston, Iowa. He went to Indiana University - School Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Care Associates Of Co Llc and his current practice location is 1610 W Townline St, Ste 115, Creston, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 782-7619.

Kenneth D Stults is licensed to practice in Iowa (license number 02061) 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 1982608865.

Contact Information

	Kenneth D Stults, OD
	1610 W Townline St, Ste 115, Creston, IA 50801-1064
	(641) 782-7619
	(641) 782-6549

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth D Stults
Gender	Male
Speciality	Optometry
Experience	29 Years
Location	1610 W Townline St, Creston, Iowa
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:

Kenneth D Stults attended and graduated from Indiana University - School Of Optometry in 1995

NPI Data:

NPI Number: 1982608865
Provider Enumeration Date: 06/09/2005
Last Update Date: 11/27/2007

Medicare PECOS Information:

PECOS PAC ID: 1759375215
Enrollment ID: I20100514000550

Medical Identifiers

Medical identifiers for Kenneth D Stults such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982608865	NPI	-	NPPES
51981	Other	IA	BLUE CROSS BLUE SHIELD
1520261	Other	IA	OD LICENSE
0128975	Medicaid	IA
02061	Other	IA	IOWA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	02061 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Care Associates Of Co Llc	9537597828	49

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. Kenneth D Stults allows following entities to bill medicare on his behalf.

Provider Name	Creston Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982792339 PECOS PAC ID: 9234123787 Enrollment ID: O20040408001274

Provider Name	Eye Care Associates Of Co Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124674049 PECOS PAC ID: 9537597828 Enrollment ID: O20230306000245

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. Kenneth D Stults 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
Kenneth D Stults, OD Po Box 427, Creston, IA 50801-0427 Ph: (641) 782-7619	Kenneth D Stults, OD 1610 W Townline St, Ste 115, Creston, IA 50801-1064 Ph: (641) 782-7619

Reviews and Comments

Optometrist in Creston, IA

Family Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 807 N Sumner Ave, Creston, IA 50801 Phone: 641-782-2111 Fax: 641-782-2113
Trey Matthew Thomsen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 807 N Sumner Ave, Creston, IA 50801 Phone: 641-782-2111
Family Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 807 N Sumner Ave, Creston, IA 50801 Phone: 641-782-2111 Fax: 641-782-2113
Dr. Brian Keith Kinkade, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 806 Laurel St, Creston, IA 50801 Phone: 641-782-5455 Fax: 641-782-5590
Dr. Joel Jordan Weis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 807 N Sumner Ave, Creston, IA 50801 Phone: 641-782-2111 Fax: 641-782-2113
Eye Care Associates Of Co Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1610 W Townline St, Creston, IA 50801 Phone: 641-782-7619
Donald E Mckim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1610 W Townline St, Ste 115, Creston, IA 50801 Phone: 641-782-7619 Fax: 641-782-6549

Kenneth D Stults, OD - Medicare Optometrist in Creston, IA