Dr Elaine Victoria Petry, OD in Spearfish, SD

Dr Elaine Victoria Petry, OD is a medicare enrolled "Optometrist" provider in Spearfish, South Dakota. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Deadwood Eye Care Llc, Mountain Valley Vision Center and her current practice location is 1236 North Ave, Spearfish, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 642-2645.

Dr Elaine Victoria Petry is licensed to practice in South Dakota (license number 785) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1083296669.

Contact Information

	Dr Elaine Victoria Petry, OD
	1236 North Ave, Spearfish, SD 57783-1533
	(605) 642-2645
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elaine Victoria Petry
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	1236 North Ave, Spearfish, South Dakota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Elaine Victoria Petry graduated from medical school in 2021

NPI Data:

NPI Number: 1083296669
Provider Enumeration Date: 04/23/2021
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7416352125
Enrollment ID: I20220913001797

Medical Identifiers

Medical identifiers for Dr Elaine Victoria Petry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083296669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	785 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deadwood Eye Care Llc	2567615917	2
Mountain Valley Vision Center	3072772847	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 Elaine Victoria Petry allows following entities to bill medicare on her behalf.

Provider Name	Mountain Valley Vision Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932479474 PECOS PAC ID: 3072772847 Enrollment ID: O20120314000427

Provider Name	Deadwood Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003168980 PECOS PAC ID: 2567615917 Enrollment ID: O20130115000041

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 Elaine Victoria Petry 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 Elaine Victoria Petry, OD 1001 N Grand Ave, Tahlequah, OK 74464-7017 Ph: (918) 444-4000	Dr Elaine Victoria Petry, OD 1236 North Ave, Spearfish, SD 57783-1533 Ph: (605) 642-2645

Reviews and Comments

Optometrist in Spearfish, SD

Family Optical P C Optometrist Medicare: Medicare Enrolled Practice Location: 1420 North Ave Ste 1, Spearfish, SD 57783 Phone: 605-642-0387 Fax: 605-642-0388
Robert G Goodrich Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 N Main St, Suite 1, Spearfish, SD 57783 Phone: 605-642-2645 Fax: 605-642-8345
Eryn Caudill, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 North Ave, Spearfish, SD 57783 Phone: 605-642-0387
Lifetime Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1230 North Ave, Suite #3, Spearfish, SD 57783 Phone: 605-642-4656
Jessica R Czerny, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645
Dr. Kathryn Opbroek Haivala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1710 North Ave, Spearfish, SD 57783 Phone: 605-642-8480 Fax: 605-642-8185

Dr Elaine Victoria Petry, OD - Medicare Optometrist in Spearfish, SD