Dr Aleksandr Kozlov, OD in Suffield, CT - Medicare Optometrist Provider

Dr Aleksandr Kozlov, OD is a medicare enrolled "Optometrist" provider in Suffield, Connecticut. His current practice location is 162 Mountain Rd, Suffield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 668-0266.

Dr Aleksandr Kozlov is licensed to practice in Connecticut (license number 3188) 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 1700138047.

Contact Information

	Dr Aleksandr Kozlov, OD
	162 Mountain Rd, Suffield, CT 06078-2091
	(860) 668-0266
	(860) 668-5556

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Aleksandr Kozlov
Gender	Male
Speciality	Optometrist
Location	162 Mountain Rd, Suffield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700138047
Provider Enumeration Date: 10/10/2012
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5799217980
Enrollment ID: I20241012000183

Medical Identifiers

Medical identifiers for Dr Aleksandr Kozlov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700138047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	60570234 (Washington)	Secondary
152W00000X	Optometrist	3188 (Connecticut)	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 Aleksandr Kozlov allows following entities to bill medicare on his behalf.

Provider Name	Myeyedr Optometry Of Connecticut Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396119194 PECOS PAC ID: 1557666237 Enrollment ID: O20160217001075

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 Aleksandr Kozlov 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 Aleksandr Kozlov, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899	Dr Aleksandr Kozlov, OD 162 Mountain Rd, Suffield, CT 06078-2091 Ph: (860) 668-0266

Reviews and Comments

Optometrist in Suffield, CT

Suffield Eye Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 162 Mountain Rd, Suffield, CT 06078 Phone: 860-668-0266 Fax: 860-668-5556
Connecticut Vision Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 230b Mountain Rd, Suffield, CT 06078 Phone: 860-559-7116
Myeyedr Optometry Of Connecticut, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 162 Mountain Rd, Suffield, CT 06078 Phone: 860-668-0266 Fax: 860-668-5556
Laura Anne Mafuz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 162 Mountain Rd, Suffield, CT 06078 Phone: 860-668-0266 Fax: 860-668-5556
Suffield Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 162 Mountain Rd, Suffield, CT 06078 Phone: 860-668-0266 Fax: 860-668-5556
Richard J Colo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 162 Mountain Road, Suffield, CT 06078 Phone: 860-668-5556 Fax: 860-668-5556

Dr Aleksandr Kozlov, OD - Medicare Optometrist in Suffield, CT