Mr Michael Edward Koditek, OD is a medicare enrolled "Optometrist" provider in Frederick, Colorado. He went to Pacific University - College Of Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Carbon Valley Eye Care and his current practice location is
5900 Keyes St Ste 101, Frederick, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 833-1056.
Mr Michael Edward Koditek is licensed to practice in Colorado (license number 2850) 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 1366735201.
Healthcare Provider's Profile
| Full Name | Mr Michael Edward Koditek |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 5900 Keyes St Ste 101, Frederick, Colorado |
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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:
- Mr Michael Edward Koditek attended and graduated from Pacific University - College Of Optometry in 2011
NPI Data:
- NPI Number: 1366735201
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951562784
- Enrollment ID: I20120423000056
Medical Identifiers
Medical identifiers for Mr Michael Edward Koditek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366735201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2850 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carbon Valley Eye Care | 1557585528 | 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. Mr Michael Edward Koditek allows following entities to bill medicare on his behalf.
| Provider Name | Carbon Valley Eye Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235558065
PECOS PAC ID: 1557585528
Enrollment ID: O20141112001014 |
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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. Mr Michael Edward Koditek 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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Mr Michael Edward Koditek, OD
5900 Keyes St Ste 101,
Frederick, CO 80504-5956
Ph: (303) 833-1056 | Mr Michael Edward Koditek, OD
5900 Keyes St Ste 101,
Frederick, CO 80504-5956
Ph: (303) 833-1056 |
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