Kyle M Gillespie O D Ltd is a medicare enrolled "Optometrist" provider in Quincy, Washington. Their current practice location is
701 2nd Ave Se, Quincy, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 787-1581.
Kyle M Gillespie O D Ltd is licensed to practice in Washington (license number OD60178254) and it also participates in the medicare program. Kyle M Gillespie O D Ltd
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962728295.
Healthcare Provider's Profile
| Full Name | Kyle M Gillespie O D Ltd |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 701 2nd Ave Se, Quincy, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962728295
- Provider Enumeration Date: 04/12/2010
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941337620
- Enrollment ID: O20101106000033
Medical Identifiers
Medical identifiers for Kyle M Gillespie O D Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962728295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD60178254 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kyle M Gillespie O D Ltd acts as a billing entity for following providers:
| Provider Name | Kyle Morgan Gillespie |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1649433459
PECOS PAC ID: 1052473097
Enrollment ID: I20101106000037 |
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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. Kyle M Gillespie O D Ltd 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 |
|---|
Kyle M Gillespie O D Ltd
326 W 4100 N,
Provo, UT 84604-6212
Ph: (509) 797-3641 | Kyle M Gillespie O D Ltd
701 2nd Ave Se,
Quincy, WA 98848-1531
Ph: (509) 787-1581 |
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