Dr Randy L Hertneky, OD is a medicare enrolled "Optometrist" provider in Wray, Colorado. His current practice location is
415 Main St, Wray, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 332-4823.
Dr Randy L Hertneky is licensed to practice in Colorado (license number 1092) 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 1962489351.
Healthcare Provider's Profile
| Full Name | Dr Randy L Hertneky |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 415 Main St, Wray, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962489351
- Provider Enumeration Date: 12/27/2005
- Last Update Date: 06/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991796971
- Enrollment ID: I20040519000698
Medical Identifiers
Medical identifiers for Dr Randy L Hertneky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962489351 | NPI | - | NPPES |
| 08010928 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1092 (Colorado) | 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 Randy L Hertneky allows following entities to bill medicare on his behalf.
| Provider Name | Morrison Optometric Associates Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609843390
PECOS PAC ID: 8426005083
Enrollment ID: O20090113000788 |
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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 Randy L Hertneky 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 Randy L Hertneky, OD
415 Main St,
Wray, CO 80758-1724
Ph: (970) 332-4823 | Dr Randy L Hertneky, OD
415 Main St,
Wray, CO 80758-1724
Ph: (970) 332-4823 |
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