Pine Ridge Vision Center - Medicare Optometrist in Pine Ridge, SD

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Pine Ridge Vision Center is a medicare enrolled "Optometrist" provider in Pine Ridge, South Dakota. Their current practice location is 207 E Main St Ste 1, Pine Ridge, South Dakota. You can reach out to their office (for appointments etc.) via phone at (605) 867-2772.

Pine Ridge Vision Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pine Ridge Vision Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134142243.

Contact Information

Pine Ridge Vision Center
207 E Main St Ste 1,
Pine Ridge, SD 57770-3184
(605) 867-2772
(605) 867-2772

Map and Direction




Healthcare Provider's Profile

Full NamePine Ridge Vision Center
TypeFacility
SpecialityOptometrist
Location207 E Main St Ste 1, Pine Ridge, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134142243
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 01/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123073574
  • Enrollment ID: O20070705000033

Medical Identifiers

Medical identifiers for Pine Ridge Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134142243NPI-NPPES
4993076OtherSDWELLMARK BCBS
4993078OtherSDWELLMARK BCBS
9200333MedicaidSD
9202143MedicaidSD
9280200MedicaidSD
4993075OtherSDWELLMARK BCBS
4993077OtherSDWELLMARK BCBS
9203683MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pine Ridge Vision Center acts as a billing entity for following providers:
Provider NameMark R Winckler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538268388
PECOS PAC ID: 6406854173
Enrollment ID: I20070705000162
Provider NameTimothy L Chancellor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417916321
PECOS PAC ID: 2365546637
Enrollment ID: I20070705000185
Provider NameBradley Marcy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336581503
PECOS PAC ID: 8123262714
Enrollment ID: I20140902001649

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. Pine Ridge Vision Center 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
Pine Ridge Vision Center
Po Box 399, Hwy 18,
Pine Ridge, SD 57770-0399

Ph: (605) 867-2772		Pine Ridge Vision Center
207 E Main St Ste 1,
Pine Ridge, SD 57770-3184

Ph: (605) 867-2772

Reviews and Comments


Optometrist in Pine Ridge, SD

Mark R Winckler, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 207 E Main St Ste 1, Pine Ridge, SD 57770
Phone: 605-867-2772    

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.