Kristin Avery, DO in Clear Lake, IA

Kristin Avery, DO is a medicare enrolled "Pediatrics" physician in Clear Lake, Iowa. Her current practice location is 401 S 15th St, Clear Lake, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 357-7442.

Kristin Avery is licensed to practice in Iowa (license number 05513) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710415005.

Contact Information

	Kristin Avery, DO
	401 S 15th St, Clear Lake, IA 50428-2303
	(641) 357-7442
	(641) 357-3070

Map and Direction

Physician's Profile

Full Name	Kristin Avery
Gender	Female
Speciality	Pediatrics
Location	401 S 15th St, Clear Lake, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710415005
Provider Enumeration Date: 05/31/2017
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9931479136
Enrollment ID: I20200910002662

Medical Identifiers

Medical identifiers for Kristin Avery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710415005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R-10935 (Iowa)	Secondary
208000000X	Pediatrics	05513 (Iowa)	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. Kristin Avery allows following entities to bill medicare on her behalf.

Entity Name	North Iowa Mercy Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273

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. Kristin Avery 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
Kristin Avery, DO 401 S 15th St, Clear Lake, IA 50428-2303 Ph: (641) 357-7442	Kristin Avery, DO 401 S 15th St, Clear Lake, IA 50428-2303 Ph: (641) 357-7442

Reviews and Comments

Pediatrics Doctors in Clear Lake, IA

Dr. Anjali S. Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070
Norma C Mcguire, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070
Tate Allen Lage, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070
Dr. Suresh K Rajagopal, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 418 N Shore Dr, Clear Lake, IA 50428 Phone: 641-357-7442

Kristin Avery, DO - Medicare Pediatrics in Clear Lake, IA