Tyler David Fruth, OD in Mt Sterling, KY - Medicare Optometrist Provider

Tyler David Fruth, OD is a medicare enrolled "Optometrist" provider in Mt Sterling, Kentucky. His current practice location is 1 N Maysville St, Mt Sterling, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 498-6001.

Tyler David Fruth is licensed to practice in Kentucky (license number 2298DT) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457086142.

Contact Information

	Tyler David Fruth, OD
	1 N Maysville St, Mt Sterling, KY 40353-1753
	(859) 498-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler David Fruth
Gender	Male
Speciality	Optometrist
Location	1 N Maysville St, Mt Sterling, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457086142
Provider Enumeration Date: 07/18/2022
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8729464540
Enrollment ID: I20221003001076

Medical Identifiers

Medical identifiers for Tyler David Fruth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457086142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3169 (Oklahoma)	Secondary
152W00000X	Optometrist	2298DT (Kentucky)	Primary

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. Tyler David Fruth allows following entities to bill medicare on his behalf.

Provider Name	Helderman & Jacobs Vision Center, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699824912 PECOS PAC ID: 5193701159 Enrollment ID: O20040629000790

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. Tyler David Fruth 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
Tyler David Fruth, OD 1 N Maysville Ave, Mt Sterling, KY 40353 Ph: (859) 498-6001	Tyler David Fruth, OD 1 N Maysville St, Mt Sterling, KY 40353-1753 Ph: (859) 498-6001

Reviews and Comments

Optometrist in Mt Sterling, KY

Dr. Amy Elizabeth Thacker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 499 Indian Mound Dr, Mt Sterling, KY 40353 Phone: 859-497-9382 Fax: 859-497-9387
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Mt Sterling, KY 40353 Phone: 859-498-4777 Fax: 859-498-3392
Tri-state Centers For Sight Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 Brandon Way Ste B, Mt Sterling, KY 40353 Phone: 859-498-9393 Fax: 859-498-9864
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 Brandon Way, Ste B, Mt Sterling, KY 40353 Phone: 859-498-9393 Fax: 859-498-9864
Dr. Ellen Marie Grubb, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 25 Sterling Way, Suite C, Mt Sterling, KY 40353 Phone: 859-498-4800 Fax: 859-498-2021
Thacker And Associates Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 499 Indian Mound Dr, Mt Sterling, KY 40353 Phone: 859-498-8110 Fax: 859-497-9387

Tyler David Fruth, OD - Medicare Optometrist in Mt Sterling, KY