Kevin Goodwin, is a medicare enrolled "Optometrist" provider in Montgomery, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2014 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Tyler Ridge Vision Care, Ltd and his current practice location is
1050 Ogden Ave, Montgomery, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 449-1955.
Kevin Goodwin is licensed to practice in Illinois (license number 046010826) 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 1740697408.
Healthcare Provider's Profile
| Full Name | Kevin Goodwin |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 11 Years |
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| Location | 1050 Ogden Ave, Montgomery, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Goodwin attended and graduated from Illinois College Of Optometry At Chicago in 2014
NPI Data:
- NPI Number: 1740697408
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 07/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 5193061836
- Enrollment ID: I20190116003037
Medical Identifiers
Medical identifiers for Kevin Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740697408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046010826 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tyler Ridge Vision Care, Ltd | 0042289183 | 3 |
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. Kevin Goodwin allows following entities to bill medicare on his behalf.
| Provider Name | Tyler Ridge Vision Care, Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225052301
PECOS PAC ID: 0042289183
Enrollment ID: O20040927000477 |
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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. Kevin Goodwin 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 |
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Kevin Goodwin,
653 W Briarcliff Rd,
Bolingbrook, IL 60440-2630
Ph: (630) 908-0892 | Kevin Goodwin,
1050 Ogden Ave,
Montgomery, IL 60538-5404
Ph: (630) 449-1955 |
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