Dr Garrick A Rettele, MD is a medicare enrolled "Ophthalmology" physician in Coffeyville, Kansas. His current practice location is
1411 W 4th St, Ste D, Coffeyville, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 251-3235.
Dr Garrick A Rettele is licensed to practice in Kansas (license number 04-26308) 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 1801892898.
Physician's Profile
| Full Name | Dr Garrick A Rettele |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1411 W 4th St, Coffeyville, Kansas |
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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: 1801892898
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 02/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 3072551613
- Enrollment ID: I20050422000870
Medical Identifiers
Medical identifiers for Dr Garrick A Rettele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801892898 | NPI | - | NPPES |
| 041849 | Other | KS | BCBS OF KS |
| 100190920A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 04-26308 (Kansas) | 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 Garrick A Rettele allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Kansas Eye Care Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144297581
PECOS PAC ID: 4183601420
Enrollment ID: O20040702001166 |
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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 Garrick A Rettele 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 |
|---|
Dr Garrick A Rettele, MD
1411 W 4th St, Ste D,
Coffeyville, KS 67337-3300
Ph: (620) 251-3235 | Dr Garrick A Rettele, MD
1411 W 4th St, Ste D,
Coffeyville, KS 67337-3300
Ph: (620) 251-3235 |
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