Kylene Ann Polhamus, OD | |
2746 Old Us 20 W, Elkhart, IN 46514-1364 | |
(574) 293-3545 | |
Not Available |
Full Name | Kylene Ann Polhamus |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 11 Years |
Location | 2746 Old Us 20 W, Elkhart, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427464890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003841A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianapolis Ophthalmology Pc | 9335190354 | 6 |
Provider Name | Indianapolis Ophthalmology Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902910359 PECOS PAC ID: 9335190354 Enrollment ID: O20050208000292 |
Mailing Address | Practice Location Address |
---|---|
Kylene Ann Polhamus, OD 14700 County Murray Dr, Granger, IN 46530-8988 Ph: (574) 220-8703 | Kylene Ann Polhamus, OD 2746 Old Us 20 W, Elkhart, IN 46514-1364 Ph: (574) 293-3545 |
Michiana Eye Center , Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2216 Cassopolis St, Elkhart, IN 46514 Phone: 574-266-2111 Fax: 574-266-0555 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-8511 Fax: 574-875-8763 | |
Jennifer Houseknecht, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-4499 Fax: 855-326-4293 | |
Dr. David Roger Britzke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 830 Parkway Ave Ste E, Elkhart, IN 46516 Phone: 574-970-7444 | |
Dr. Jennifer Suzanne Wade, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 175 County Road 6 W, Elkhart, IN 46514 Phone: 574-266-7465 Fax: 574-266-7467 | |
Olivia Elston, Optometrist Medicare: Medicare Enrolled Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-8511 | |
Dr. Amy H Layman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2746 Old Us 20 W, Elkhart, IN 46514 Phone: 574-293-3545 Fax: 574-522-0599 |