Kingsley Vision Center Pc is a medicare enrolled "Optometrist" provider in Kingsley, Iowa. Their current practice location is
125 Main Street, Kingsley, Iowa. You can reach out to their office (for appointments etc.) via phone at
(712) 378-2640.
Kingsley Vision Center Pc is licensed to practice in Iowa (license number IA1725) and it also participates in the medicare program. Kingsley Vision Center Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639252331.
Healthcare Provider's Profile
| Full Name | Kingsley Vision Center Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 125 Main Street, Kingsley, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639252331
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 06/27/2008
Medicare PECOS Information:
- PECOS PAC ID: 2769373018
- Enrollment ID: O20040324000732
Medical Identifiers
Medical identifiers for Kingsley Vision Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639252331 | NPI | - | NPPES |
| 0177410 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | IA1725 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kingsley Vision Center Pc acts as a billing entity for following providers:
| Provider Name | Dennis R Vannatta |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1144212358
PECOS PAC ID: 4688565930
Enrollment ID: I20100518000466 |
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| Provider Name | Angela M Spartz Kolbo |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1053666800
PECOS PAC ID: 3779732607
Enrollment ID: I20121009000279 |
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| Provider Name | Zachary Lancaster |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1295263010
PECOS PAC ID: 5395014328
Enrollment ID: I20170707002047 |
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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. Kingsley Vision Center Pc 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 |
|---|
Kingsley Vision Center Pc
Po Box 129,
Kingsley, IA 51028-0129
Ph: (712) 378-2640 | Kingsley Vision Center Pc
125 Main Street,
Kingsley, IA 51028
Ph: (712) 378-2640 |
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