Ian T Kirste Od Pc is a medicare enrolled "Optometrist" provider in Aztec, New Mexico. Their current practice location is
121 S Main Ave, Aztec, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(505) 333-7278.
Ian T Kirste Od Pc is licensed to practice in New Mexico (license number 424) and it also participates in the medicare program. Ian T Kirste Od Pc
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 1356564736.
Healthcare Provider's Profile
| Full Name | Ian T Kirste Od Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 121 S Main Ave, Aztec, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356564736
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 10/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 2668577354
- Enrollment ID: O20070425000532
Medical Identifiers
Medical identifiers for Ian T Kirste Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356564736 | NPI | - | NPPES |
| E5476 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 424 (New Mexico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ian T Kirste Od Pc acts as a billing entity for following providers:
| Provider Name | Ian T Kirste |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1770546657
PECOS PAC ID: 8022041193
Enrollment ID: I20070425000484 |
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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. Ian T Kirste Od Pc 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 |
|---|
Ian T Kirste Od Pc
4323 E Main St,
Farmington, NM 87402-8621
Ph: (505) 326-7654 | Ian T Kirste Od Pc
121 S Main Ave,
Aztec, NM 87410-2120
Ph: (505) 333-7278 |
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