Dr Glenn Orville Kallevig, OD is a medicare enrolled "Optometrist" provider in Princeton, Minnesota. He went to Illinois College Of Optometry At Chicago and graduated in 1991 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Thomas L Nunnelee Inc and his current practice location is
101 S Rum River Dr, Princeton, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 389-9000.
Dr Glenn Orville Kallevig is licensed to practice in Minnesota (license number 2359) 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 1174688725.
Healthcare Provider's Profile
| Full Name | Dr Glenn Orville Kallevig |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 34 Years |
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| Location | 101 S Rum River Dr, Princeton, Minnesota |
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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 Glenn Orville Kallevig attended and graduated from Illinois College Of Optometry At Chicago in 1991
NPI Data:
- NPI Number: 1174688725
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355333956
- Enrollment ID: I20040402000006
Medical Identifiers
Medical identifiers for Dr Glenn Orville Kallevig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174688725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2359 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Thomas L Nunnelee Inc | 4880792571 | 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 Glenn Orville Kallevig allows following entities to bill medicare on his behalf.
| Provider Name | Thomas L Nunnelee Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225194475
PECOS PAC ID: 4880792571
Enrollment ID: O20070604000407 |
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| Provider Name | Shoptikal Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942866371
PECOS PAC ID: 1456684471
Enrollment ID: O20190611002309 |
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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 Glenn Orville Kallevig 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 Glenn Orville Kallevig, OD
14940 47th St Ne,
Foley, MN 56329-4621
Ph: (320) 968-8091 | Dr Glenn Orville Kallevig, OD
101 S Rum River Dr,
Princeton, MN 55371-1815
Ph: (763) 389-9000 |
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