Dr Susana Noemy Gutierrez, OD in Kingston, PA - Medicare Optometrist Provider

Dr Susana Noemy Gutierrez, OD is a medicare enrolled "Optometrist" provider in Kingston, Pennsylvania. Her current practice location is 703 Rutter Ave, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 288-7405.

Dr Susana Noemy Gutierrez is licensed to practice in Pennsylvania (license number OEG004191) 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 1881426443.

Contact Information

	Dr Susana Noemy Gutierrez, OD
	703 Rutter Ave, Kingston, PA 18704-4801
	(570) 288-7405
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susana Noemy Gutierrez
Gender	Female
Speciality	Optometrist
Location	703 Rutter Ave, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881426443
Provider Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7315488368
Enrollment ID: I20240918002281

Medical Identifiers

Medical identifiers for Dr Susana Noemy Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881426443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG004191 (Pennsylvania)	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 Susana Noemy Gutierrez allows following entities to bill medicare on her behalf.

Provider Name	Vision Innovation Centers Of Pennsylvania Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962046458 PECOS PAC ID: 0840625349 Enrollment ID: O20200110000050

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 Susana Noemy Gutierrez 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 Susana Noemy Gutierrez, OD 6418 Quander Rd, Alexandria, VA 22307-1026 Ph: () -	Dr Susana Noemy Gutierrez, OD 703 Rutter Ave, Kingston, PA 18704-4801 Ph: (570) 288-7405

Reviews and Comments

Optometrist in Kingston, PA

Dr. Robert Eli Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 693 W Market St, Kingston, PA 18704 Phone: 570-714-5665 Fax: 570-714-5660
Diane M Delregno, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406
Darrell Evans, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406
Dr. Carrie Allgeier Cardillo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406
Yashaswee Bhattarai, Optometrist Medicare: Medicare Enrolled Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406
Dr. Michael Richard Josefowicz Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 410-571-8733 Fax: 570-288-7406
Jeffrey Scott Empfield, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 703 Rutter Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406

Dr Susana Noemy Gutierrez, OD - Medicare Optometrist in Kingston, PA