- Medicare in Bismarck, ND

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is a medicare enrolled "Eyewear Supplier" provider in Bismarck, North Dakota. Their current practice location is 738 Kirkwood Mall, Bismarck, North Dakota. You can reach out to their office (for appointments etc.) via phone at (701) 258-8810.

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 1518601483.

Contact Information

738 Kirkwood Mall,
Bismarck, ND 58504-5753
(701) 258-8810
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityEyewear Supplier
Location738 Kirkwood Mall, Bismarck, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518601483
  • Provider Enumeration Date: 04/26/2022
  • Last Update Date: 11/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456684471
  • Enrollment ID: O20221031002549

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518601483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
332H00000XEyewear Supplier (* (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 NameWendy Lawson Kopp
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669581765
PECOS PAC ID: 6507858503
Enrollment ID: I20040401000428
Provider NameJames B Connelly
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508884016
PECOS PAC ID: 2769474311
Enrollment ID: I20040417000448
Provider NameShanon G Bencker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972612075
PECOS PAC ID: 2264482835
Enrollment ID: I20050201000136
Provider NameShari L Kensok
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366548752
PECOS PAC ID: 3971556085
Enrollment ID: I20050301000778
Provider NameCarissa Guler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386028777
PECOS PAC ID: 6305153321
Enrollment ID: I20150923001233
Provider NameVanessa R Manlove
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376194472
PECOS PAC ID: 1951735125
Enrollment ID: I20191220001079

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 19060,
Green Bay, WI 54307-9060

Ph: (920) 429-7285
738 Kirkwood Mall,
Bismarck, ND 58504-5753

Ph: (701) 258-8810

Reviews and Comments



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.