Dr Kelsey H Jewett, OD is a medicare enrolled "Optometrist" provider in Shasta Lake, California. His current practice location is
4626 Shasta Dam Blvd, Shasta Lake, California. You can reach out to his office (for appointments etc.) via phone at
(530) 275-0866.
Dr Kelsey H Jewett is licensed to practice in California (license number 5883T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396880415.
Healthcare Provider's Profile
| Full Name | Dr Kelsey H Jewett |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 4626 Shasta Dam Blvd, Shasta Lake, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396880415
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 12/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547270043
- Enrollment ID: I20060427000754
Medical Identifiers
Medical identifiers for Dr Kelsey H Jewett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396880415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 5883T (California) | Primary |
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 Kelsey H Jewett 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 Kelsey H Jewett, OD 4767 Rocky Ridge Ct, Redding, CA 96001-4005 Ph: (530) 209-3315 | Dr Kelsey H Jewett, OD 4626 Shasta Dam Blvd, Shasta Lake, CA 96019-9414 Ph: (530) 275-0866 |
Reviews and Comments