Kacey Dustin Blaylock, OD - Medicare Optometrist in Boise, ID

Kacey Dustin Blaylock, OD is a medicare enrolled "Optometrist" provider in Boise, Idaho. He went to Pacific University - College Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Hollingshead Eye Center, Pc and his current practice location is 360 E Mallard Dr Ste 110, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 336-8700.

Kacey Dustin Blaylock is licensed to practice in Idaho (license number ODP-100370) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164871489.

Contact Information

Kacey Dustin Blaylock, OD
360 E Mallard Dr Ste 110,
Boise, ID 83706-3945
(208) 336-8700
(208) 426-0902

Map and Direction




Healthcare Provider's Profile

Full NameKacey Dustin Blaylock
GenderMale
SpecialityOptometry
Experience8 Years
Location360 E Mallard Dr Ste 110, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kacey Dustin Blaylock attended and graduated from Pacific University - College Of Optometry in 2016
  NPI Data:
  • NPI Number: 1164871489
  • Provider Enumeration Date: 06/07/2016
  • Last Update Date: 06/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062705460
  • Enrollment ID: I20160722000745

Medical Identifiers

Medical identifiers for Kacey Dustin Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164871489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP-100370 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hollingshead Eye Center, Pc98301332145

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. Kacey Dustin Blaylock allows following entities to bill medicare on his behalf.
Provider NameHollingshead Eye Center, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871643585
PECOS PAC ID: 9830133214
Enrollment ID: O20050616000317
Provider NameLwk P C
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851624019
PECOS PAC ID: 5890824247
Enrollment ID: O20100524000915

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. Kacey Dustin Blaylock 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
Kacey Dustin Blaylock, OD
360 E Mallard Dr Ste 110,
Boise, ID 83706-3945

Ph: (208) 336-8700
Kacey Dustin Blaylock, OD
360 E Mallard Dr Ste 110,
Boise, ID 83706-3945

Ph: (208) 336-8700

Reviews and Comments


Optometrist in Boise, ID

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Dr. Lavar W Kofoed, O.D.
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Phone: 208-381-6910    

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).

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