Mrs Kimberly D Forniss, OD - Medicare Optometrist in Indianapolis, IN

Mrs Kimberly D Forniss, OD is a medicare enrolled "Optometrist" provider in Indianapolis, Indiana. She went to Southern College Of Optometry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Aeg Indiana Professional Pc and her current practice location is 5525 Georgetown Rd, Suite J, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 297-1788.

Mrs Kimberly D Forniss is licensed to practice in Indiana (license number 18003112) 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 1720036668.

Contact Information

Mrs Kimberly D Forniss, OD
5525 Georgetown Rd, Suite J,
Indianapolis, IN 46254-3724
(317) 297-1788
(317) 297-1790

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberly D Forniss
GenderFemale
SpecialityOptometry
Experience23 Years
Location5525 Georgetown Rd, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kimberly D Forniss attended and graduated from Southern College Of Optometry in 2001
  NPI Data:
  • NPI Number: 1720036668
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 11/11/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7012060734
  • Enrollment ID: I20090812000447

Medical Identifiers

Medical identifiers for Mrs Kimberly D Forniss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720036668NPI-NPPES
200512000MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18003112 (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aeg Indiana Professional Pc236582617915

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. Mrs Kimberly D Forniss allows following entities to bill medicare on her behalf.
Provider NameForniss Optometric Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740447184
PECOS PAC ID: 9931252657
Enrollment ID: O20090728000782
Provider NameAeg Indiana Professional Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043944127
PECOS PAC ID: 2365826179
Enrollment ID: O20220829000590

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. Mrs Kimberly D Forniss 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 AddressPractice Location Address
Mrs Kimberly D Forniss, OD
5525 Georgetown Rd, Suite J,
Indianapolis, IN 46254-3724

Ph: (317) 297-1788
Mrs Kimberly D Forniss, OD
5525 Georgetown Rd, Suite J,
Indianapolis, IN 46254-3724

Ph: (317) 297-1788

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.