- Medicare Optometrist in Fosston, MN

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is a medicare enrolled "Optometrist" provider in Fosston, Minnesota. Their current practice location is 111 2nd St Ne, Fosston, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 435-1010.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1265829881.

Contact Information

111 2nd St Ne,
Fosston, MN 56542-1301
(218) 435-1010
(218) 435-1715

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location111 2nd St Ne, Fosston, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265829881
  • Provider Enumeration Date: 04/21/2015
  • Last Update Date: 06/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597725168
  • Enrollment ID: O20150602000945

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265829881NPI-NPPES

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. acts as a billing entity for following providers:
Provider NameSara A Fredrickson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407880057
PECOS PAC ID: 7214982511
Enrollment ID: I20050321000169
Provider NameSamuel R Sant
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740327493
PECOS PAC ID: 8628008638
Enrollment ID: I20050819000156
Provider NameAndrew A Jordan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992723563
PECOS PAC ID: 1850345299
Enrollment ID: I20060123000834
Provider NameGermaine E Cheslock
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154468890
PECOS PAC ID: 9335240191
Enrollment ID: I20070723000840
Provider NamePamela M Samson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760403984
PECOS PAC ID: 1153414818
Enrollment ID: I20070911000702
Provider NameStaci Lynn Collison
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588949648
PECOS PAC ID: 6002036589
Enrollment ID: I20141003002230
Provider NameDerek David Czywczynski
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427281583
PECOS PAC ID: 0648316646
Enrollment ID: I20200521000589
Provider NameKelly Pruett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336217900
PECOS PAC ID: 4385817691
Enrollment ID: I20210204000116

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. 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

Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
111 2nd St Ne,
Fosston, MN 56542-1301

Ph: (218) 435-1010

Reviews and Comments


Optometrist in Fosston, MN


Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 111 2nd St Ne, Fosston, MN 56542
Phone: 218-435-1010    Fax: 218-435-1715

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.