Nils Kofoed, is a medicare enrolled "Optometrist" provider in Wood Village, Oregon. His current practice location is
23500 Ne Sandy Blvd, Wood Village, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 667-8869.
Nils Kofoed is licensed to practice in Oregon (license number ATI4514) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649895681.
Healthcare Provider's Profile
Full Name | Nils Kofoed |
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Gender | Male |
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Speciality | Optometrist |
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Location | 23500 Ne Sandy Blvd, Wood Village, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649895681
- Provider Enumeration Date: 06/16/2020
- Last Update Date: 09/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870918535
- Enrollment ID: I20200729001396
Medical Identifiers
Medical identifiers for Nils Kofoed such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649895681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | ATI4514 (Oregon) | Primary |
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. Nils Kofoed allows following entities to bill medicare on his behalf.
Provider Name | Valley Eye Care Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1275655391 PECOS PAC ID: 4587635420 Enrollment ID: O20040804000154 |
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Provider Name | Molalla Vision Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1497931018 PECOS PAC ID: 9335298504 Enrollment ID: O20090518000386 |
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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. Nils Kofoed 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 |
Nils Kofoed, 16752 Se Market St # B, Portland, OR 97233-4426 Ph: () - | Nils Kofoed, 23500 Ne Sandy Blvd, Wood Village, OR 97060-9653 Ph: (503) 667-8869 |
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