Dr Kelsey Jordan Palmer, OD - Medicare Optometrist in Peoria, AZ

Dr Kelsey Jordan Palmer, OD is a medicare enrolled "Optometrist" provider in Peoria, Arizona. Her current practice location is 18431 N 91st Ave Ste 1, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 393-8324.

Dr Kelsey Jordan Palmer is licensed to practice in New York (license number 009499) 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 1992462725.

Contact Information

Dr Kelsey Jordan Palmer, OD
18431 N 91st Ave Ste 1,
Peoria, AZ 85382-0817
(623) 393-8324
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelsey Jordan Palmer
GenderFemale
SpecialityOptometrist
Location18431 N 91st Ave Ste 1, Peoria, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992462725
  • Provider Enumeration Date: 11/29/2021
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820484694
  • Enrollment ID: I20220404000896

Medical Identifiers

Medical identifiers for Dr Kelsey Jordan Palmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992462725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA2920 (Maryland)Secondary
152W00000XOptometrist 5539 (Massachusetts)Secondary
152W00000XOptometrist OPT-002579 (Arizona)Secondary
152W00000XOptometrist ODP-100623 (Idaho)Secondary
152W00000XOptometrist I5-0000005 (Delaware)Secondary
152W00000XOptometrist 1058 (New Hampshire)Secondary
152W00000XOptometrist TPOP102 (Florida)Secondary
152W00000XOptometrist OPT.0003933 (Colorado)Secondary
152W00000XOptometrist 13429536-9934 (Utah)Secondary
152W00000XOptometrist 009499 (New York)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 Kelsey Jordan Palmer allows following entities to bill medicare on her behalf.
Provider NameEmpire Vision Center Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750358826
PECOS PAC ID: 4688573876
Enrollment ID: O20040107000405
Provider NameCvg Optometry, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194959486
PECOS PAC ID: 8921158015
Enrollment ID: O20090611000231
Provider NameNew York Optometry Professional Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598470544
PECOS PAC ID: 5890169841
Enrollment ID: O20230315000804

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 Jordan Palmer 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 Kelsey Jordan Palmer, OD
18431 N 91st Ave Ste 1,
Peoria, AZ 85382-0817

Ph: (623) 393-8324
Dr Kelsey Jordan Palmer, OD
18431 N 91st Ave Ste 1,
Peoria, AZ 85382-0817

Ph: (623) 393-8324

Reviews and Comments


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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.