Dr Kevin Jay Childers, OD is a medicare enrolled "Optometrist" provider in Vandalia, Illinois. His current practice location is
2202 W Randolph St, Vandalia, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 283-3511.
Dr Kevin Jay Childers is licensed to practice in Illinois (license number 046-007658) 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 1306927181.
Healthcare Provider's Profile
| Full Name | Dr Kevin Jay Childers |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2202 W Randolph St, Vandalia, Illinois |
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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 Kevin Jay Childers attended and graduated from in
NPI Data:
- NPI Number: 1306927181
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 05/01/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kevin Jay Childers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306927181 | NPI | - | NPPES |
| 3672C | Other | IL | CATERPILLAR |
| 2684002 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 205184 | Other | IL | EYE MED |
| 046007658 | Medicaid | IL | |
| WPS76001 | Other | IL | ELEC MED PROC |
| 6182833511 | Other | IL | VSP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 046-007658 (Illinois) | 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 Kevin Jay Childers 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 Kevin Jay Childers, OD
Po Box 320,
Vandalia, IL 62471-0320
Ph: (618) 283-3511 | Dr Kevin Jay Childers, OD
2202 W Randolph St,
Vandalia, IL 62471-1946
Ph: (618) 283-3511 |
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