Nicholas Leo Koshuta, OD in Prescott Valley, AZ

Nicholas Leo Koshuta, OD is a medicare enrolled "Optometrist" provider in Prescott Valley, Arizona. He went to Pennsylvania College Of Optometry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Flagstaff Eye Care Pllc and his current practice location is 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 775-5606.

Nicholas Leo Koshuta is licensed to practice in Arizona (license number 1264) 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 1992701494.

Contact Information

	Nicholas Leo Koshuta, OD
	2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256
	(928) 775-5606
	(928) 772-4999

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Leo Koshuta
Gender	Male
Speciality	Optometry
Experience	23 Years
Location	2820 N Glassford Hill Rd, Prescott Valley, Arizona
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:

Nicholas Leo Koshuta attended and graduated from Pennsylvania College Of Optometry in 2001

NPI Data:

NPI Number: 1992701494
Provider Enumeration Date: 06/21/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567490741
Enrollment ID: I20050729000033

Medical Identifiers

Medical identifiers for Nicholas Leo Koshuta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992701494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1264 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Flagstaff Eye Care Pllc	1850315623	2

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. Nicholas Leo Koshuta allows following entities to bill medicare on his behalf.

Provider Name	Flagstaff Eye Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780711317 PECOS PAC ID: 1850315623 Enrollment ID: O20060119000383

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. Nicholas Leo Koshuta 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
Nicholas Leo Koshuta, OD 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 Ph: (928) 775-5606	Nicholas Leo Koshuta, OD 2820 N Glassford Hill Rd, Ste 101, Prescott Valley, AZ 86314-2256 Ph: (928) 775-5606

Reviews and Comments

Optometrist in Prescott Valley, AZ

Mrs. Joanne C Hopman, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2820 N Glassford Hill Rd, Suite 101, Prescott Valley, AZ 86314 Phone: 928-775-5606 Fax: 928-772-4999
Prescott Valley Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3153 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-771-9939 Fax: 928-772-3972
Dr. William Robert Tanner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314 Phone: 928-499-3152 Fax: 928-775-6292
Yavapai Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7763 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 801-645-4572 Fax: 928-772-1279
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5684 E State Route 69, Prescott Valley, AZ 86314 Phone: 928-499-6585
Yavapai Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 7763 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-775-9393 Fax: 928-772-1279
Dr. Renita Charlene Frost, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7840 E St Route Hwy 69, Suite A-5a, Prescott Valley, AZ 86314 Phone: 928-775-9393

Nicholas Leo Koshuta, OD - Medicare Optometrist in Prescott Valley, AZ