Dr Kathy Diane Halverson, OD - Medicare Optometrist in Charlotte, NC

Dr Kathy Diane Halverson, OD is a medicare enrolled "Optometrist" provider in Charlotte, North Carolina. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Ryan Leblanc Od Pllc and her current practice location is 3506 W Tyvola Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 329-1300.

Dr Kathy Diane Halverson is licensed to practice in New Mexico (license number 2457) 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 1083669956.

Contact Information

Dr Kathy Diane Halverson, OD
3506 W Tyvola Rd,
Charlotte, NC 28208-7201
(704) 329-1300
(704) 357-7539

Map and Direction




Healthcare Provider's Profile

Full NameDr Kathy Diane Halverson
GenderFemale
SpecialityOptometry
Experience33 Years
Location3506 W Tyvola Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kathy Diane Halverson graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1083669956
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 05/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7719151166
  • Enrollment ID: I20201030000110

Medical Identifiers

Medical identifiers for Dr Kathy Diane Halverson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083669956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2152 (South Carolina)Secondary
152W00000XOptometrist 2457 (New Mexico)Primary
152W00000XOptometrist 2194 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ryan Leblanc Od Pllc498101416412

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. Dr Kathy Diane Halverson allows following entities to bill medicare on her behalf.
Provider NameRyan Leblanc Od Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992055966
PECOS PAC ID: 4981014164
Enrollment ID: O20201028002159

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. Dr Kathy Diane Halverson 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
Dr Kathy Diane Halverson, OD
805 Hawthorne Ln,
Charlotte, NC 28204-2109

Ph: (505) 414-0592
Dr Kathy Diane Halverson, OD
3506 W Tyvola Rd,
Charlotte, NC 28208-7201

Ph: (704) 329-1300

Reviews and Comments


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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.