Shannon Koenders Veldkamp, OD - Medicare Optometrist in Coon Rapids, MN

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Shannon Koenders Veldkamp, OD is a medicare enrolled "Optometrist - Vision Therapy" provider in Coon Rapids, Minnesota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Mlp Optometry, Jd Eyes Inc and her current practice location is 12771 Riverdale Blvd Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 421-1220.

Shannon Koenders Veldkamp is licensed to practice in Minnesota (license number 3577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902391626.

Contact Information

Shannon Koenders Veldkamp, OD
12771 Riverdale Blvd Nw,
Coon Rapids, MN 55448-1262
(763) 421-1220
(763) 421-1291

Map and Direction




Healthcare Provider's Profile

Full NameShannon Koenders Veldkamp
GenderFemale
SpecialityOptometry
Experience6 Years
Location12771 Riverdale Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Koenders Veldkamp graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1902391626
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 10/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688002843
  • Enrollment ID: I20200323000010

Medical Identifiers

Medical identifiers for Shannon Koenders Veldkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902391626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy 3577 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mlp Optometry38708208144
Jd Eyes Inc74161701624

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. Shannon Koenders Veldkamp allows following entities to bill medicare on her behalf.
Provider NameJd Eyes Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609292077
PECOS PAC ID: 7416170162
Enrollment ID: O20140527000914
Provider NameElton Eyecare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811430226
PECOS PAC ID: 9032455936
Enrollment ID: O20190115000305
Provider NameMlp Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801454608
PECOS PAC ID: 3870820814
Enrollment ID: O20190813003175

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. Shannon Koenders Veldkamp 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
Shannon Koenders Veldkamp, OD
19879 Naples St Nw,
Elk River, MN 55330-8859

Ph: (605) 941-9628		Shannon Koenders Veldkamp, OD
12771 Riverdale Blvd Nw,
Coon Rapids, MN 55448-1262

Ph: (763) 421-1220

Reviews and Comments


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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.