Kristin Ann Protosow, OPTOMETRIST, OD is a medicare enrolled "Optometrist - Low Vision Rehabilitation" provider in Ronkonkoma, New York. Her current practice location is
624 Hawkins Ave, Suite 1, Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 588-5100.
Kristin Ann Protosow is licensed to practice in New York (license number TUV007254-1) 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 1063688547.
Healthcare Provider's Profile
| Full Name | Kristin Ann Protosow |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 624 Hawkins Ave, Ronkonkoma, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Kristin Ann Protosow attended and graduated from in
NPI Data:
- NPI Number: 1063688547
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 11/18/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kristin Ann Protosow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063688547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WL0500X | Optometrist - Low Vision Rehabilitation | TUV007254-1 (New York) | Primary |
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. Kristin Ann Protosow 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 |
|---|
Kristin Ann Protosow, OPTOMETRIST, OD
624 Hawkins Ave., Suite 1,
Ronkonkoma, NY 11779
Ph: (631) 588-5100 | Kristin Ann Protosow, OPTOMETRIST, OD
624 Hawkins Ave, Suite 1,
Ronkonkoma, NY 11779-2375
Ph: (631) 588-5100 |
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