Kyle Scott Bothwell, in Mesa, AZ - Medicare Optometrist Provider

Kyle Scott Bothwell, is a medicare enrolled "Optometrist" provider in Mesa, Arizona. His current practice location is 1240 W Southern Ave Ste 101, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 655-0741.

Kyle Scott Bothwell is licensed to practice in Arizona (license number 002585) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912638115.

Contact Information

	Kyle Scott Bothwell,
	1240 W Southern Ave Ste 101, Mesa, AZ 85202-4882
	(480) 655-0741
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Scott Bothwell
Gender	Male
Speciality	Optometrist
Location	1240 W Southern Ave Ste 101, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912638115
Provider Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 3476920141
Enrollment ID: I20221109001777

Medical Identifiers

Medical identifiers for Kyle Scott Bothwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912638115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	002585 (Arizona)	Secondary
152W00000X	Optometrist	002585 (Arizona)	Primary

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 Scott Bothwell allows following entities to bill medicare on his behalf.

Provider Name	Nationwide Optometry P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326472945 PECOS PAC ID: 6901033075 Enrollment ID: O20131217000251

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 Scott Bothwell 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
Kyle Scott Bothwell, 3906 E Page Ave, Gilbert, AZ 85234-4423 Ph: () -	Kyle Scott Bothwell, 1240 W Southern Ave Ste 101, Mesa, AZ 85202-4882 Ph: (480) 655-0741

Reviews and Comments

Optometrist in Mesa, AZ

Dr. Fred Nmn Fisch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-834-6367
Alicia S Mccallen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1444 S Sossaman Rd, Mesa, AZ 85209 Phone: 480-333-6563 Fax: 480-333-6564
Eyes On Site Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2826 E Baseline Rd Ste 101, Mesa, AZ 85204 Phone: 480-626-8925 Fax: 480-704-4036
Dr. Mark Peller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1025 S Power Rd, Mesa, AZ 85206 Phone: 480-325-6277 Fax: 480-325-6278
Dr. Dawn Michelle Martin, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3940 E University Dr, Ste 5, Mesa, AZ 85205 Phone: 480-832-0030 Fax: 480-924-7268
Pearson Eyecare Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6555 E Southern Ave, #1508, Mesa, AZ 85206 Phone: 480-345-7520
Jordan Bluth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 S Stapley Dr, Mesa, AZ 85204 Phone: 480-833-9100

Kyle Scott Bothwell, - Medicare Optometrist in Mesa, AZ