Kenneth Leon Gortz, OD in Willard, OH - Medicare Optometrist Provider

Kenneth Leon Gortz, OD is a medicare enrolled "Optometrist" provider in Willard, Ohio. His current practice location is 421a E Walton St, Willard, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 933-4327.

Kenneth Leon Gortz is licensed to practice in Ohio (license number 2891) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295973154.

Contact Information

	Kenneth Leon Gortz, OD
	421a E Walton St, Willard, OH 44890-9108
	(419) 933-4327
	(419) 933-4336

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Leon Gortz
Gender	Male
Speciality	Optometrist
Location	421a E Walton St, Willard, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295973154
Provider Enumeration Date: 01/30/2009
Last Update Date: 08/18/2016

Medicare PECOS Information:

PECOS PAC ID: 5092864785
Enrollment ID: I20090529000312

Medical Identifiers

Medical identifiers for Kenneth Leon Gortz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295973154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2891 (Ohio)	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. Kenneth Leon Gortz allows following entities to bill medicare on his behalf.

Provider Name	Aeg Ohio Professional Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154980811 PECOS PAC ID: 7618207036 Enrollment ID: O20190927002244

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 Leon Gortz 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 Leon Gortz, OD 1500 S County Road 1, Tiffin, OH 44883-9746 Ph: (419) 443-0710	Kenneth Leon Gortz, OD 421a E Walton St, Willard, OH 44890-9108 Ph: (419) 933-4327

Reviews and Comments

Optometrist in Willard, OH

Phillip Keysor Optometrist Medicare: Medicare Enrolled Practice Location: 219 Crestwood Dr, Willard, OH 44890 Phone: 419-935-1505 Fax: 419-933-7071
Hookway Eye Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 W Walton St, Willard, OH 44890 Phone: 419-933-2741 Fax: 419-933-7281
Philip Dale Keysor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 219 Crestwood Dr, Willard, OH 44890 Phone: 419-935-1505 Fax: 419-933-7071
Willard Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 320 W Walton St, Willard, OH 44890 Phone: 419-933-2741 Fax: 419-933-7281
Dr. Tiffany Procaccini, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 W Walton St, Willard, OH 44890 Phone: 419-933-2741
Ohio Hearing & Vision Professionals, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 A E. Walton St., Willard, OH 44890 Phone: 419-933-4327 Fax: 419-933-4336

Kenneth Leon Gortz, OD - Medicare Optometrist in Willard, OH