Dr Brandon Koupal, OD in Burnsville, MN - Medicare Optometrist Provider

Dr Brandon Koupal, OD is a medicare enrolled "Optometrist" provider in Burnsville, Minnesota. His current practice location is 1004 County Road 42 E, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 894-1400.

Dr Brandon Koupal is licensed to practice in Minnesota (license number 3874) 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 1194403774.

Contact Information

	Dr Brandon Koupal, OD
	1004 County Road 42 E, Burnsville, MN 55337-4652
	(952) 894-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon Koupal
Gender	Male
Speciality	Optometrist
Location	1004 County Road 42 E, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194403774
Provider Enumeration Date: 07/05/2023
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9830550219
Enrollment ID: I20230801003837

Medical Identifiers

Medical identifiers for Dr Brandon Koupal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194403774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3874 (Minnesota)	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 Brandon Koupal allows following entities to bill medicare on his behalf.

Provider Name	Lakeville Family Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427292143 PECOS PAC ID: 9032265871 Enrollment ID: O20090921000554

Provider Name	Burnsville Eye Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255575973 PECOS PAC ID: 4789730433 Enrollment ID: O20090922000022

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 Brandon Koupal 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 Brandon Koupal, OD 8300 Commonwealth Drive, Apt 334, Eden Prairie, MN 55344 Ph: (605) 261-6327	Dr Brandon Koupal, OD 1004 County Road 42 E, Burnsville, MN 55337-4652 Ph: (952) 894-1400

Reviews and Comments

Optometrist in Burnsville, MN

Martin Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 County Road 42 W, Burnsville, MN 55337 Phone: 952-288-3412
Randal P North, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2070-72 Burnsville Center, Burnsville, MN 55306 Phone: 952-435-3686 Fax: 952-435-3074
Kristine L Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave, Burnsville, MN 55337 Phone: 952-428-0200
Paul M Damlo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2070-72 Burnsville Center, Burnsville, MN 55306 Phone: 952-435-3686 Fax: 952-435-3074
Roger L Parlanti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700
Edina Eye Physicians And Surgeons Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337 Phone: 952-435-4170 Fax: 952-898-8832

Dr Brandon Koupal, OD - Medicare Optometrist in Burnsville, MN