Kylie Marie Divine, OD in Poplar Bluff, MO - Medicare Optometry Provider

Kylie Marie Divine, OD is a medicare enrolled "Optometrist" provider in Poplar Bluff, Missouri. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. Her current practice location is 1347 North Westwood Blvd., Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 712-2333.

Kylie Marie Divine is licensed to practice in Missouri (license number 2010020558) 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 1558672162.

Contact Information

	Kylie Marie Divine, OD
	1347 North Westwood Blvd., Poplar Bluff, MO 63901
	(573) 712-2333
	(573) 712-2433

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie Marie Divine
Gender	Female
Speciality	Optometry
Experience	14 Years
Location	1347 North Westwood Blvd., Poplar Bluff, Missouri
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:

Kylie Marie Divine attended and graduated from University Of Missouri St Louis - School Of Optometry in 2010

NPI Data:

NPI Number: 1558672162
Provider Enumeration Date: 06/29/2010
Last Update Date: 01/27/2017

Medicare PECOS Information:

PECOS PAC ID: 5193840932
Enrollment ID: I20100916000485

Medical Identifiers

Medical identifiers for Kylie Marie Divine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558672162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2010020558 (Missouri)	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. Kylie Marie Divine allows following entities to bill medicare on her behalf.

Provider Name	Divine Family Eye Care, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871859918 PECOS PAC ID: 8123281482 Enrollment ID: O20120523000713

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. Kylie Marie Divine 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
Kylie Marie Divine, OD 1347 N Westwood Blvd, Poplar Bluff, MO 63901-3313 Ph: (573) 712-2333	Kylie Marie Divine, OD 1347 North Westwood Blvd., Poplar Bluff, MO 63901 Ph: (573) 712-2333

Reviews and Comments

Optometrist in Poplar Bluff, MO

Dr. Kayla S Melton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4303
Drjerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477
Dr. Michael R. Penney Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-1442 Fax: 573-776-6024
Franklin Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901 Phone: 409-617-9774
Dr Jerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477
Tyler N Tinsley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901 Phone: 573-686-3991 Fax: 573-686-3992
Dr. Jerry Wayne Long, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477

Kylie Marie Divine, OD - Medicare Optometrist in Poplar Bluff, MO