Kristin Ann Protosow, OPTOMETRIST, OD is a medicare enrolled "Optometrist - Low Vision Rehabilitation" provider in Ronkonkoma, New York. She went to New England College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Vision Associates Llp and 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 | Optometry |
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Experience | 17 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. |
Medical Education and Training:
- Kristin Ann Protosow attended and graduated from New England College Of Optometry in 2007
NPI Data:
- NPI Number: 1063688547
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 11/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163593757
- Enrollment ID: I20080625000727
Medical Identifiers
Medical identifiers for Kristin Ann Protosow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063688547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152WL0500X | Optometrist - Low Vision Rehabilitation | TUV007254-1 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Eye Vision Associates Llp | 3375432511 | 5 |
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. Kristin Ann Protosow allows following entities to bill medicare on her behalf.
Provider Name | Eye Vision Associates Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1982604732 PECOS PAC ID: 3375432511 Enrollment ID: O20040315000317 |
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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. 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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