Dezaray Donn Varland, OD is a medicare enrolled "Optometrist" provider in Fort Meade, South Dakota. Her current practice location is
113 Comanche Rd, Fort Meade, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 347-2511.
Dezaray Donn Varland is licensed to practice in Colorado (license number OPT.0003159) 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 1902158231.
Healthcare Provider's Profile
| Full Name | Dezaray Donn Varland |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 113 Comanche Rd, Fort Meade, South Dakota |
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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: 1902158231
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860792165
- Enrollment ID: I20151118000547
Medical Identifiers
Medical identifiers for Dezaray Donn Varland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902158231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT.0003159 (Colorado) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Dezaray Donn Varland allows following entities to bill medicare on her behalf.
| Provider Name | Great Plains Tribal Chairmens Health Board |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376105452
PECOS PAC ID: 0648609917
Enrollment ID: O20200408001014 |
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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. Dezaray Donn Varland 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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Dezaray Donn Varland, OD
113 Comanche Rd,
Fort Meade, SD 57741-1002
Ph: (605) 347-2511 | Dezaray Donn Varland, OD
113 Comanche Rd,
Fort Meade, SD 57741-1002
Ph: (605) 347-2511 |
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