Dr Douglas Alan Donnelly, OD is a medicare enrolled "Optometrist" provider in Iola, Kansas. He went to University Of Houston - College Of Optometry and graduated in 1988 and has 37 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Iola Vision Source, Llc and his current practice location is
424 N Washington Ave, Iola, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 365-2108.
Dr Douglas Alan Donnelly is licensed to practice in Kansas (license number 1277) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912972308.
Healthcare Provider's Profile
| Full Name | Dr Douglas Alan Donnelly |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 37 Years |
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| Location | 424 N Washington Ave, Iola, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Alan Donnelly attended and graduated from University Of Houston - College Of Optometry in 1988
NPI Data:
- NPI Number: 1912972308
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022146729
- Enrollment ID: I20100517000189
Medical Identifiers
Medical identifiers for Dr Douglas Alan Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912972308 | NPI | - | NPPES |
| P00094712 | Other | KS | RAILROAD MEDICARE |
| 658080 | Other | KS | FIRSTGUARD |
| 100218530B | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1277 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Iola Vision Source, Llc | 5698765584 | 2 |
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 Douglas Alan Donnelly allows following entities to bill medicare on his behalf.
| Provider Name | Iola Vision Source, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568550754
PECOS PAC ID: 5698765584
Enrollment ID: O20040513000705 |
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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. Dr Douglas Alan Donnelly 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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Dr Douglas Alan Donnelly, OD
Po Box 847, 424 N Washington,
Iola, KS 66749-0847
Ph: (620) 365-2108 | Dr Douglas Alan Donnelly, OD
424 N Washington Ave,
Iola, KS 66749-2353
Ph: (620) 365-2108 |
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