Maureen Kimora Wallen, OD in Camillus, NY - Medicare Optometry Provider

Maureen Kimora Wallen, OD is a medicare enrolled "Optometrist" provider in Camillus, New York. She went to State University Of New York - State College Optometry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Robert K Druger Md Pllc and her current practice location is 5700 West Genesee Street, Suite 112, Camillus, New York. You can reach out to her office (for appointments etc.) via phone at (315) 488-1601.

Maureen Kimora Wallen is licensed to practice in New York (license number TUV006882) 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 1285618439.

Contact Information

	Maureen Kimora Wallen, OD
	5700 West Genesee Street, Suite 112, Camillus, NY 13031
	(315) 488-1601
	(315) 488-0047

Map and Direction

Healthcare Provider's Profile

Full Name	Maureen Kimora Wallen
Gender	Female
Speciality	Optometry
Experience	21 Years
Location	5700 West Genesee Street, Camillus, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Maureen Kimora Wallen attended and graduated from State University Of New York - State College Optometry in 2003

NPI Data:

NPI Number: 1285618439
Provider Enumeration Date: 12/01/2005
Last Update Date: 04/01/2010

Medicare PECOS Information:

PECOS PAC ID: 5991747974
Enrollment ID: I20050624000810

Medical Identifiers

Medical identifiers for Maureen Kimora Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285618439	NPI	-	NPPES
P00799448	Other		MEDICARE RAILROAD
02845334	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV006882 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Robert K Druger Md Pllc	1456325653	2

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. Maureen Kimora Wallen allows following entities to bill medicare on her behalf.

Provider Name	Robert K Druger Md Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730132291 PECOS PAC ID: 1456325653 Enrollment ID: O20040824000227

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. Maureen Kimora Wallen 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
Maureen Kimora Wallen, OD 5700 West Genesee Street, Suite 112, Camillus, NY 13031 Ph: (315) 488-1601	Maureen Kimora Wallen, OD 5700 West Genesee Street, Suite 112, Camillus, NY 13031 Ph: (315) 488-1601

Reviews and Comments

Optometrist in Camillus, NY

Tj Fancy Enterprises Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 104 Kasson Rd Ste C, Camillus, NY 13031 Phone: 315-487-0327 Fax: 315-487-4425
Focus Vision Development Optometry Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 240 Township Blvd Ste 60, Camillus, NY 13031 Phone: 917-280-4923
Ralph Daniel Suffolk Iii, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5399 W Genesee St, Walmart Vision Center 2581, Camillus, NY 13031 Phone: 315-468-2745 Fax: 315-468-2786
Emerging Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 104 Kasson Rd Ste C, Camillus, NY 13031 Phone: 315-487-0327 Fax: 315-487-4425
Druger Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 5633 W Genesee St, Camillus, NY 13031 Phone: 315-488-1601 Fax: 315-488-0047
Sterling Optical Optometrist Medicare: Medicare Enrolled Practice Location: 104 Kasson Rd, Camillus, NY 13031 Phone: 315-487-0327 Fax: 315-387-4425

Maureen Kimora Wallen, OD - Medicare Optometrist in Camillus, NY