Stefan Kristoph Young, OD is a medicare enrolled "Optometrist" provider in Lake Ridge, Virginia. His current practice location is
2253c Old Bridge Rd, Lake Ridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 494-8900.
Stefan Kristoph Young is licensed to practice in Virginia (license number 0618001620) 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 1336219211.
Healthcare Provider's Profile
| Full Name | Stefan Kristoph Young |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2253c Old Bridge Rd, Lake Ridge, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stefan Kristoph Young attended and graduated from in
NPI Data:
- NPI Number: 1336219211
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 02/04/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stefan Kristoph Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336219211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 0618001620 (Virginia) | Primary |
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. Stefan Kristoph Young 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 |
|---|
Stefan Kristoph Young, OD
Po Box 208869,
Dallas, TX 75320-8869
Ph: (636) 200-4393 | Stefan Kristoph Young, OD
2253c Old Bridge Rd,
Lake Ridge, VA 22192-3025
Ph: (703) 494-8900 |
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