Dr Vicki Shangraw Kvedar, MD is a medicare enrolled "Ophthalmology" physician in Melrose, Massachusetts. She went to Boston University School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Specialty Eye Consultants, Llc, Specialty Eye Consultants 2 Llc and her current practice location is
467 Main St, Melrose, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 662-2216.
Dr Vicki Shangraw Kvedar is licensed to practice in Massachusetts (license number 59738) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1316910953.
Physician's Profile
| Full Name | Dr Vicki Shangraw Kvedar |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 22 Years |
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| Location | 467 Main St, Melrose, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Vicki Shangraw Kvedar attended and graduated from Boston University School Of Medicine in 2003
NPI Data:
- NPI Number: 1316910953
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 10/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769421130
- Enrollment ID: I20050426001101
Medical Identifiers
Medical identifiers for Dr Vicki Shangraw Kvedar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316910953 | NPI | - | NPPES |
| 3078418 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 59738 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Specialty Eye Consultants, Llc | 2264964774 | 6 |
| Specialty Eye Consultants 2 Llc | 4880115682 | 4 |
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 Vicki Shangraw Kvedar allows following entities to bill medicare on her behalf.
| Entity Name | Mark A. Latina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508839291 PECOS PAC ID: 2567435019 Enrollment ID: O20040813000811 |
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| Entity Name | Mark A Latina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619413069 PECOS PAC ID: 2365814514 Enrollment ID: O20230216000190 |
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| Entity Name | Specialty Eye Consultants, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912753724 PECOS PAC ID: 2264964774 Enrollment ID: O20241022000550 |
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| Entity Name | Specialty Eye Consultants 2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245079722 PECOS PAC ID: 4880115682 Enrollment ID: O20250310002403 |
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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 Vicki Shangraw Kvedar 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 Vicki Shangraw Kvedar, MD 12 Grey Ln, Lynnfield, MA 01940-1240 Ph: (781) 334-6316 | Dr Vicki Shangraw Kvedar, MD 467 Main St, Melrose, MA 02176-3856 Ph: (781) 662-2216 |
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