Dr Kelly Borgman, OD - Medicare Optometrist in Holland, MI

  1. Home
  2. Optometrists
  3. MI
  4. Holland
Dr Kelly Borgman, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Holland, Michigan. Her current practice location is 904 Washington Ave Ste 120, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 796-9995.

Dr Kelly Borgman is licensed to practice in Michigan (license number 4901005784) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063759678.

Contact Information

Dr Kelly Borgman, OD
904 Washington Ave Ste 120,
Holland, MI 49423-7724
(616) 796-9995
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Borgman
GenderFemale
SpecialityOptometrist - Pediatrics
Location904 Washington Ave Ste 120, Holland, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063759678
  • Provider Enumeration Date: 01/16/2013
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022353499
  • Enrollment ID: I20230616002484

Medical Identifiers

Medical identifiers for Dr Kelly Borgman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063759678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1910DT (Kentucky)Secondary
152WP0200XOptometrist - Pediatrics 1910DT (Kentucky)Secondary
152WP0200XOptometrist - Pediatrics 4901005784 (Michigan)Primary

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 Kelly Borgman allows following entities to bill medicare on her behalf.
Provider NameEye Associates Of Southern Indiana Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1336219922
PECOS PAC ID: 4183688310
Enrollment ID: O20050303000481

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 Kelly Borgman 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 Kelly Borgman, OD
904 Washington Ave Ste 120,
Holland, MI 49423-7724

Ph: (616) 796-9995		Dr Kelly Borgman, OD
904 Washington Ave Ste 120,
Holland, MI 49423-7724

Ph: (616) 796-9995

Reviews and Comments


Optometrist in Holland, MI

Michael P Jacquemin, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 12659 Riley St, Holland, MI 49424
Phone: 616-399-1440    Fax: 616-399-2169
Dr. Daniel Patrick Dunn, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2942 Pine Edge Ct, Holland, MI 49424
Phone: 616-393-0144    Fax: 616-393-0199
Family Eyecare Of Holland Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423
Phone: 616-395-2020    
Dr. Dirk Schrotenboer, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 11971 James St, Holland, MI 49424
Phone: 616-395-0606    Fax: 616-395-0070
Dr. Tara Marie Oosterbaan, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 999 Washington Ave, Holland, MI 49423
Phone: 616-396-2316    Fax: 616-396-0085
Dr. Gerald Kolk, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423
Phone: 616-395-2020    

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.