Kyle J Williams, OD is a medicare enrolled "Optometrist" provider in Ketchum, Idaho. He went to Pacific University - College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyecenter Pa and his current practice location is
180 1st Ave N, Ketchum, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 726-3363.
Kyle J Williams is licensed to practice in Idaho (license number ODP100080) 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 1649381955.
Healthcare Provider's Profile
| Full Name | Kyle J Williams |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 19 Years |
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| Location | 180 1st Ave N, Ketchum, Idaho |
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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:
- Kyle J Williams attended and graduated from Pacific University - College Of Optometry in 2005
NPI Data:
- NPI Number: 1649381955
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 0345260477
- Enrollment ID: I20051202000687
Medical Identifiers
Medical identifiers for Kyle J Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649381955 | NPI | - | NPPES |
| 807261300 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | ODP100080 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eyecenter Pa | 4486672565 | 4 |
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. Kyle J Williams allows following entities to bill medicare on his behalf.
| Provider Name | Eyecenter Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154418366
PECOS PAC ID: 4486672565
Enrollment ID: O20051107001076 |
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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. Kyle J Williams 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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Kyle J Williams, OD
Po Box 6129,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 | Kyle J Williams, OD
180 1st Ave N,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 |
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