Gary Knowles, OD in Dallas, OR - Medicare Optometrist Provider

Gary Knowles, OD is a medicare enrolled "Optometrist" provider in Dallas, Oregon. His current practice location is 506 Main St, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 623-9233.

Gary Knowles is licensed to practice in Oregon (license number 1547T) 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 1154364743.

Contact Information

	Gary Knowles, OD
	506 Main St, Dallas, OR 97338-1915
	(503) 623-9233
	(503) 623-9233

Map and Direction

Healthcare Provider's Profile

Full Name	Gary Knowles
Gender	Male
Speciality	Optometrist
Location	506 Main St, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154364743
Provider Enumeration Date: 06/13/2006
Last Update Date: 12/04/2008

Medicare PECOS Information:

PECOS PAC ID: 1850479023
Enrollment ID: I20080429000392

Medical Identifiers

Medical identifiers for Gary Knowles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154364743	NPI	-	NPPES
279018	Medicaid	OR
0310568863	Other	OR	EYE MED
022775000	Other	OR	BLUE CROSS
7072090	Other	OR	AETNA
93093	Other	OR	LIFEWISE
002118501001	Other	OR	CATERPILLAR
93082710497338	Other	OR	TRICARE
31107	Other	OR	UNITED MEDICAL RESOURCES
93029	Other	OR	PACIFIC SOURCE
O000790187	Other	OR	MUTUAL OF OMAHA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1547T (Oregon)	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. Gary Knowles allows following entities to bill medicare on his behalf.

Provider Name	Polk Vision Clinics Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760669733 PECOS PAC ID: 9032297296 Enrollment ID: O20080429000298

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. Gary Knowles 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
Gary Knowles, OD 506 Main St, Dallas, OR 97338-1915 Ph: (503) 623-9233	Gary Knowles, OD 506 Main St, Dallas, OR 97338-1915 Ph: (503) 623-9233

Reviews and Comments

Optometrist in Dallas, OR

John L Barringer, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 606 Sw Hayter St, Dallas, OR 97338 Phone: 503-949-5760
Geoffrey Wade Knowles, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-851-2547
Mid-valley Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 986 Se Uglow St., Dallas, OR 97338 Phone: 503-623-3538 Fax: 503-623-8112
Christopher David Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 986 Se Uglow Street, Dallas, OR 97338 Phone: 503-623-3538 Fax: 503-623-8112
Dallas Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-623-9233
Dr. Garrett Wayne Knowles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-837-1047

Gary Knowles, OD - Medicare Optometrist in Dallas, OR