Southern Kentucky Eye Center Psc is a medicare enrolled "Ophthalmology" provider in Somerset, Kentucky. Their current practice location is
120 Tradepark Dr, Suite A, Somerset, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(606) 679-7778.
Southern Kentucky Eye Center Psc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southern Kentucky Eye Center Psc
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 1285776476.
Healthcare Provider's Profile
| Full Name | Southern Kentucky Eye Center Psc |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
|---|
| Location | 120 Tradepark Dr, Somerset, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285776476
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183701659
- Enrollment ID: O20100421000480
Medical Identifiers
Medical identifiers for Southern Kentucky Eye Center Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285776476 | NPI | - | NPPES |
| 3061400 | Other | TN | BCBS |
| 4020794 | Medicaid | TN | |
| 1520956 | Other | KY | UMWA |
| 65928939 | Medicaid | KY | |
| 000000041743 | Other | KY | BLUECROSS BLUE SHIELD |
| 180028760 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (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.
Southern Kentucky Eye Center Psc acts as a billing entity for following providers:
| Provider Name | Mark A Henry |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1972587251
PECOS PAC ID: 7012094584
Enrollment ID: I20100421000535 |
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| Provider Name | Kathryn T Wilson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1851777825
PECOS PAC ID: 3870800360
Enrollment ID: I20150916000793 |
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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. Southern Kentucky Eye Center Psc 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 |
|---|
Southern Kentucky Eye Center Psc
120 Tradepark Dr, Suite A,
Somerset, KY 42503-3454
Ph: (606) 679-7778 | Southern Kentucky Eye Center Psc
120 Tradepark Dr, Suite A,
Somerset, KY 42503-3454
Ph: (606) 679-7778 |
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