Kristanza Marie Bronnenberg, OD in Cody, WY - Medicare Optometry Provider

Kristanza Marie Bronnenberg, OD is a medicare enrolled "Optometrist" provider in Cody, Wyoming. She went to Southern California College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Basin Vision Center, P.c. and her current practice location is 620 19th St, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 587-4206.

Kristanza Marie Bronnenberg is licensed to practice in Wyoming (license number 429T) 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 1801437140.

Contact Information

	Kristanza Marie Bronnenberg, OD
	620 19th St, Cody, WY 82414-3305
	(307) 587-4206
	(307) 587-5539

Map and Direction

Healthcare Provider's Profile

Full Name	Kristanza Marie Bronnenberg
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	620 19th St, Cody, Wyoming
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristanza Marie Bronnenberg attended and graduated from Southern California College Of Optometry in 2020

NPI Data:

NPI Number: 1801437140
Provider Enumeration Date: 10/07/2019
Last Update Date: 12/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6002239639
Enrollment ID: I20200714003813

Medical Identifiers

Medical identifiers for Kristanza Marie Bronnenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801437140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	429T (Wyoming)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Basin Vision Center, P.c.	2769578541	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. Kristanza Marie Bronnenberg allows following entities to bill medicare on her behalf.

Provider Name	Basin Vision Center, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689707820 PECOS PAC ID: 2769578541 Enrollment ID: O20071010000481

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. Kristanza Marie Bronnenberg 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
Kristanza Marie Bronnenberg, OD Po Box 2810, Cody, WY 82414-2810 Ph: (307) 587-4206	Kristanza Marie Bronnenberg, OD 620 19th St, Cody, WY 82414-3305 Ph: (307) 587-4206

Reviews and Comments

Optometrist in Cody, WY

Family Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368
Dr. Jacob G Despain, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368
Dr. Jonathan Hartley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539
Dr. James Harvey Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539
Alisa K Stewart, OPTICIAN Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 110, Cody, WY 82414 Phone: 307-587-5788
Mr. Richard D Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368
Dr. Terence John Cole, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1531 Bleistein, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539

Kristanza Marie Bronnenberg, OD - Medicare Optometrist in Cody, WY