Dr Kevin Keith Toller, MD is a medicare enrolled "Ophthalmology" physician in Grove, Oklahoma. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1994 and has 30 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Center Pa and his current practice location is
1120 Neo Loop, Grove, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 787-2020.
Dr Kevin Keith Toller is licensed to practice in Oklahoma (license number 21196) 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 1457373466.
Physician's Profile
| Full Name | Dr Kevin Keith Toller |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 30 Years |
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| Location | 1120 Neo Loop, Grove, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kevin Keith Toller attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1994
NPI Data:
- NPI Number: 1457373466
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 04/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 0547207870
- Enrollment ID: I20190923003386
Medical Identifiers
Medical identifiers for Dr Kevin Keith Toller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457373466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 21196 (Oklahoma) | Primary |
| 207W00000X | Ophthalmology | E2275 (Arkansas) | Secondary |
| 207W00000X | Ophthalmology | 107786 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Center Pa | 5395713382 | 8 |
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 Kevin Keith Toller allows following entities to bill medicare on his behalf.
| Entity Name | Eye Center Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629169727
PECOS PAC ID: 5395713382
Enrollment ID: O20040917000683 |
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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 Kevin Keith Toller 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 Kevin Keith Toller, MD
1120 Neo Loop,
Grove, OK 74344
Ph: (918) 787-2020 | Dr Kevin Keith Toller, MD
1120 Neo Loop,
Grove, OK 74344
Ph: (918) 787-2020 |
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