Virginia Chetverikov, OD is a medicare enrolled "Optometrist" provider in Prospect, Ohio. She went to Ohio State University - College Of Optometry and graduated in 1998 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Mobile Vision Of South Carolina Llc and her current practice location is
100 East Water St., Prospect, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 494-2999.
Virginia Chetverikov is licensed to practice in Ohio (license number 4919) 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 1093745861.
Healthcare Provider's Profile
| Full Name | Virginia Chetverikov |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 26 Years |
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| Location | 100 East Water St., Prospect, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Virginia Chetverikov attended and graduated from Ohio State University - College Of Optometry in 1998
NPI Data:
- NPI Number: 1093745861
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 07/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365597416
- Enrollment ID: I20190122003557
Medical Identifiers
Medical identifiers for Virginia Chetverikov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093745861 | NPI | - | NPPES |
| 2067963 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4919 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mobile Vision Of South Carolina Llc | 1951609155 | 6 |
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. Virginia Chetverikov allows following entities to bill medicare on her behalf.
| Provider Name | Mobile Vision Of South Carolina Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659731560
PECOS PAC ID: 1951609155
Enrollment ID: O20160420001690 |
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| Provider Name | 360care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417592536
PECOS PAC ID: 2860708666
Enrollment ID: O20200310001966 |
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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. Virginia Chetverikov 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 |
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Virginia Chetverikov, OD
100 East Water St., Po Box 34,
Prospect, OH 43342
Ph: (740) 494-2999 | Virginia Chetverikov, OD
100 East Water St.,
Prospect, OH 43342
Ph: (740) 494-2999 |
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