Mark Korthals, OD in Maple Grove, MN - Medicare Optometry Provider

Mark Korthals, OD is a medicare enrolled "Optometrist" provider in Maple Grove, Minnesota. He went to Illinois College Of Optometry At Chicago and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Hutchinson Superstore Inc and his current practice location is 13195 Weaver Lake Rd, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 420-5112.

Mark Korthals is licensed to practice in Minnesota (license number 2972) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215091749.

Contact Information

	Mark Korthals, OD
	13195 Weaver Lake Rd, Maple Grove, MN 55369-9410
	(763) 420-5112
	(763) 420-6957

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Korthals
Gender	Male
Speciality	Optometry
Experience	20 Years
Location	13195 Weaver Lake Rd, Maple Grove, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Korthals attended and graduated from Illinois College Of Optometry At Chicago in 2004

NPI Data:

NPI Number: 1215091749
Provider Enumeration Date: 12/20/2006
Last Update Date: 09/04/2015

Medicare PECOS Information:

PECOS PAC ID: 6002875879
Enrollment ID: I20041007000195

Medical Identifiers

Medical identifiers for Mark Korthals such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215091749	NPI	-	NPPES
151668000	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2972 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hutchinson Superstore Inc	6901835636	3

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. Mark Korthals allows following entities to bill medicare on his behalf.

Provider Name	Hutchinson Superstore Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225127756 PECOS PAC ID: 6901835636 Enrollment ID: O20050811000990

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. Mark Korthals 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
Mark Korthals, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 420-5112	Mark Korthals, OD 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 Ph: (763) 420-5112

Reviews and Comments

Optometrist in Maple Grove, MN

Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061
Dr. Kelly Crenna, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957
Renee M Ritzer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131
Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173

Mark Korthals, OD - Medicare Optometrist in Maple Grove, MN