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

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Dr Elaine Victoria Petry, OD is a medicare enrolled "Optometrist" provider in Spearfish, South Dakota. She graduated from medical school in 2021 and has 3 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 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 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 NameDr Elaine Victoria Petry
GenderFemale
SpecialityOptometry
Experience3 Years
Location1236 North Ave, Spearfish, South Dakota
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 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.
IdentifierTypeStateIssuer
1083296669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 785 (South Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deadwood Eye Care Llc25676159172
Mountain Valley Vision Center30727728472

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 NameMountain Valley Vision Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932479474
PECOS PAC ID: 3072772847
Enrollment ID: O20120314000427
Provider NameDeadwood Eye Care Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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 Pc
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Phone: 605-642-0387    Fax: 605-642-0388
Robert G Goodrich Od Pc
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Phone: 605-642-2645    Fax: 605-642-8345
Eryn Caudill, OD
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Practice Location: 1420 North Ave, Spearfish, SD 57783
Phone: 605-642-0387    
Lifetime Eyecare
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Medicare: Medicare Enrolled
Practice Location: 1230 North Ave, Suite #3, Spearfish, SD 57783
Phone: 605-642-4656    
Spearfish Eye Care Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1710 North Ave, Spearfish, SD 57783
Phone: 605-642-8480    Fax: 605-642-8185
Jessica R Czerny, O.D.
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 1236 North Ave, Spearfish, SD 57783
Phone: 605-642-2645    

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.