Randy Fortkamp, OD in Marion, IN - Medicare Optometry Provider

Randy Fortkamp, OD is a medicare enrolled "Optometrist" provider in Marion, Indiana. He went to Indiana University - School Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Midwest Eye Consultants Pc and his current practice location is 711 N River Dr, Marion, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 664-9637.

Randy Fortkamp is licensed to practice in Indiana (license number 18004260A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770159337.

Contact Information

	Randy Fortkamp, OD
	711 N River Dr, Marion, IN 46952-2672
	(765) 664-9637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randy Fortkamp
Gender	Male
Speciality	Optometry
Experience	3 Years
Location	711 N River Dr, Marion, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randy Fortkamp attended and graduated from Indiana University - School Of Optometry in 2021

NPI Data:

NPI Number: 1770159337
Provider Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9739589797
Enrollment ID: I20210611002340

Medical Identifiers

Medical identifiers for Randy Fortkamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770159337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18004260A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Eye Consultants Pc	2961399217	65

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. Randy Fortkamp allows following entities to bill medicare on his behalf.

Provider Name	Midwest Eye Consultants Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912960535 PECOS PAC ID: 2961399217 Enrollment ID: O20040302000158

Provider Name	Preferred Eye Care, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093913303 PECOS PAC ID: 2163514993 Enrollment ID: O20070823000696

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. Randy Fortkamp 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
Randy Fortkamp, OD 3750 N Troy Ave, Marion, IN 46952-9792 Ph: (260) 251-5533	Randy Fortkamp, OD 711 N River Dr, Marion, IN 46952-2672 Ph: (765) 664-9637

Reviews and Comments

Optometrist in Marion, IN

Melvin L. Frecker O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 S Baldwin Ave, Marion, IN 46952 Phone: 765-664-7647 Fax: 765-668-1495
Dr. Michael S. Zirkle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 W 38th St, Marion, IN 46953 Phone: 765-674-7525 Fax: 765-674-7844
Dr. Melvin L. Frecker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1402 W Spencer Ave, Marion, IN 46952 Phone: 765-664-7647 Fax: 765-668-1495
Preferred Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 711 N River Dr, Marion, IN 46952 Phone: 765-664-9637 Fax: 765-664-9792
Dr. Christopher M. Kerby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 711 N River Dr, Marion, IN 46952 Phone: 765-664-9637 Fax: 765-664-9792
Dr. Daniel D Diedrich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 N Baldwin Ave, Marion, IN 46952 Phone: 765-664-6148 Fax: 765-664-9782
Midwest Eye Consultants #02 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 N Baldwin Ave, Marion, IN 46952 Phone: 765-664-6148 Fax: 765-664-9782

Randy Fortkamp, OD - Medicare Optometrist in Marion, IN