Zackary Kosisky, OD in Phoenix, AZ - Medicare Optometrist Provider

Zackary Kosisky, OD is a medicare enrolled "Optometrist" provider in Phoenix, Arizona. His current practice location is 3120 E Union Hills Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 867-4200.

Zackary Kosisky is licensed to practice in Arizona (license number OPT002725) 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 1184305278.

Contact Information

	Zackary Kosisky, OD
	3120 E Union Hills Dr, Phoenix, AZ 85050-3421
	(602) 867-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zackary Kosisky
Gender	Male
Speciality	Optometrist
Location	3120 E Union Hills Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184305278
Provider Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2365895273
Enrollment ID: I20240126003193

Medical Identifiers

Medical identifiers for Zackary Kosisky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184305278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002725 (Arizona)	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. Zackary Kosisky allows following entities to bill medicare on his behalf.

Provider Name	Caroline Griego
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1902862329 PECOS PAC ID: 1759478589 Enrollment ID: I20071026000024

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. Zackary Kosisky 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
Zackary Kosisky, OD 3120 E Union Hills Dr, Phoenix, AZ 85050-3421 Ph: (602) 867-4200	Zackary Kosisky, OD 3120 E Union Hills Dr, Phoenix, AZ 85050-3421 Ph: (602) 867-4200

Reviews and Comments

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Zackary Kosisky, OD - Medicare Optometrist in Phoenix, AZ