Mrs Kimberly R Bristow, OD - Medicare Optometrist in Newark, DE

Mrs Kimberly R Bristow, OD is a medicare enrolled "Optometrist" provider in Newark, Delaware. She went to Pennsylvania College Of Optometry and graduated in 1997 and has 27 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Douglas J Lavenburg Md Pa, Douglas J Lavenburg Md Pa and her current practice location is 1 Centurian Dr, Suite 114, Newark, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 993-0722.

Mrs Kimberly R Bristow is licensed to practice in Delaware (license number 13-0001241) 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 1669430211.

Contact Information

Mrs Kimberly R Bristow, OD
1 Centurian Dr, Suite 114,
Newark, DE 19713-2137
(302) 993-0722
(302) 993-0754

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberly R Bristow
GenderFemale
SpecialityOptometry
Experience27 Years
Location1 Centurian Dr, Newark, Delaware
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 R Bristow attended and graduated from Pennsylvania College Of Optometry in 1997
  NPI Data:
  • NPI Number: 1669430211
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 09/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1355533738
  • Enrollment ID: I20101004000627

Medical Identifiers

Medical identifiers for Mrs Kimberly R Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669430211NPI-NPPES
116251900MedicaidMD
0000542402MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 13-0001241 (Delaware)Primary
152W00000XOptometrist TA1463 (Maryland)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Douglas J Lavenburg Md Pa34765490985
Douglas J Lavenburg Md Pa34765490985

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 R Bristow allows following entities to bill medicare on her behalf.
Provider NameDouglas J Lavenburg Md Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831276385
PECOS PAC ID: 3476549098
Enrollment ID: O20040421000282

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 R Bristow 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 R Bristow, OD
103 Chesapeake Blvd, Ste C,
Elkton, MD 21921

Ph: (410) 392-4976
Mrs Kimberly R Bristow, OD
1 Centurian Dr, Suite 114,
Newark, DE 19713-2137

Ph: (302) 993-0722

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.