Dr Crystal S Hefner, OD - Medicare Optometrist in Newton, NC

Dr Crystal S Hefner, OD is a medicare enrolled "Optometrist" provider in Newton, North Carolina. She went to Pennsylvania College Of Optometry and graduated in 1979 and has 45 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Newton Optometric Center, Pllc, Claremont Optometric Eye Care Center Llc and her current practice location is 110 E A St, Newton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 464-4136.

Dr Crystal S Hefner is licensed to practice in North Carolina (license number 0990) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154311389.

Contact Information

Dr Crystal S Hefner, OD
110 E A St,
Newton, NC 28658-3343
(828) 464-4136
(828) 464-6243

Map and Direction




Healthcare Provider's Profile

Full NameDr Crystal S Hefner
GenderFemale
SpecialityOptometry
Experience45 Years
Location110 E A St, Newton, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Crystal S Hefner attended and graduated from Pennsylvania College Of Optometry in 1979
  NPI Data:
  • NPI Number: 1154311389
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 11/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7214091982
  • Enrollment ID: I20090123000390

Medical Identifiers

Medical identifiers for Dr Crystal S Hefner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154311389NPI-NPPES
09833OtherNCNC HEALTH CHOICE
NC0990OtherNCEYEMED VISION CARE
09833OtherNCBLUE CROSS BLUE SHIELD
10261OtherNCOPTICARE
22-42466OtherNCUNITED HEALTHCARE
89-09833OtherNCNC DIVISION OF THE BLIND
89-09833MedicaidNC
09833OtherNCBLUE CROSS BLUE SHIELD NC
271874OtherNCMAMSI
09833OtherNCNC STATE EMPLOYEES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0990 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Newton Optometric Center, Pllc53956580175
Claremont Optometric Eye Care Center Llc91330328405

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 Crystal S Hefner allows following entities to bill medicare on her behalf.
Provider NameClaremont Optometric Eye Care Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922000892
PECOS PAC ID: 9133032840
Enrollment ID: O20031110000167
Provider NameNewton Optometric Center, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780686659
PECOS PAC ID: 5395658017
Enrollment ID: O20031110000238

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 Crystal S Hefner 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 AddressPractice Location Address
Dr Crystal S Hefner, OD
Po Box 446,
Newton, NC 28658-0446

Ph: (828) 464-4136
Dr Crystal S Hefner, OD
110 E A St,
Newton, NC 28658-3343

Ph: (828) 464-4136

Reviews and Comments


Optometrist in Newton, NC

Hannah Glenn, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 750 Iris Lane, Newton, NC 28658
Phone: 828-464-4136    
Lifetime Eyecare Optometry, P.a.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 21 S Main Ave, Newton, NC 28658
Phone: 828-464-0604    Fax: 828-464-0982
Lifetime Eyecare
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 21 S Main Ave, Newton, NC 28658
Phone: 828-464-0604    Fax: 828-464-0982
Dr. Matthew James Davis, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 750 Iris Lane, Newton, NC 28658
Phone: 828-464-4136    Fax: 828-464-6243
Dr. Allen Hill Bandy Jr., O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21 S Main Ave, Newton, NC 28658
Phone: 828-464-0604    Fax: 828-464-0982
Newton Vision Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 750 Iris Lane, Newton, NC 28658
Phone: 828-464-4136    Fax: 828-464-6243

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.