Dr Ronald Michael Kichura, OD is a medicare enrolled "Optometrist" provider in Elmendorf Afb, Alaska. His current practice location is
5955 Zeamer Ave, 3 Mdg Optometry Clinic, Elmendorf Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 580-1150.
Dr Ronald Michael Kichura is licensed to practice in Alaska (license number AA 182) 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 1457341034.
Healthcare Provider's Profile
| Full Name | Dr Ronald Michael Kichura |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 5955 Zeamer Ave, Elmendorf Afb, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457341034
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9335560184
- Enrollment ID: I20230927000519
Medical Identifiers
Medical identifiers for Dr Ronald Michael Kichura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457341034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | AA 182 (Alaska) | 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. Dr Ronald Michael Kichura allows following entities to bill medicare on his behalf.
| Provider Name | Alaska Native Tribal Health Consortium |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772 |
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| Provider Name | Southcentral Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780614263
PECOS PAC ID: 5496663627
Enrollment ID: O20051027000416 |
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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. Dr Ronald Michael Kichura 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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Dr Ronald Michael Kichura, OD
9612 Saint George Cir,
Eagle River, AK 99577-8648
Ph: (907) 696-0929 | Dr Ronald Michael Kichura, OD
5955 Zeamer Ave, 3 Mdg Optometry Clinic,
Elmendorf Afb, AK 99506-3702
Ph: (907) 580-1150 |
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