Jenna Vergeldt, OD in Oklahoma City, OK - Medicare Optometrist Provider

Jenna Vergeldt, OD is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. Her current practice location is 921 Ne 13th St, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 456-4017.

Jenna Vergeldt is licensed to practice in Texas (license number 10401T) 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 1053943258.

Contact Information

	Jenna Vergeldt, OD
	921 Ne 13th St, Oklahoma City, OK 73104-5007
	(405) 456-4017
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Vergeldt
Gender	Female
Speciality	Optometrist
Location	921 Ne 13th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053943258
Provider Enumeration Date: 02/06/2020
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5890235725
Enrollment ID: I20240906001160

Medical Identifiers

Medical identifiers for Jenna Vergeldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053943258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10401T (Texas)	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. Jenna Vergeldt allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558

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. Jenna Vergeldt 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
Jenna Vergeldt, OD 2034 Town Road 492, International Falls, MN 56649-8707 Ph: (218) 417-0739	Jenna Vergeldt, OD 921 Ne 13th St, Oklahoma City, OK 73104-5007 Ph: (405) 456-4017

Reviews and Comments

Optometrist in Oklahoma City, OK

Jeffrey M. Butcher, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2501 W Memorial Rd, Ste 222, Oklahoma City, OK 73134 Phone: 405-775-9300
Young Eye Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 12325 N Rockwell Ave, Oklahoma City, OK 73142 Phone: 405-728-3393
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312
Oklahoma City Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 3011 Nw 63rd St, Oklahoma City, OK 73116 Phone: 405-840-2800 Fax: 405-840-8242
Samuel C. Oliphant, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 14000 Quailbrook Dr, Oklahoma City, OK 73134 Phone: 405-751-7727 Fax: 405-755-1875
Butcher Optical Iii, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8549 N Rockwell Ave, Oklahoma City, OK 73132 Phone: 405-720-8316 Fax: 405-720-3594

Jenna Vergeldt, OD - Medicare Optometrist in Oklahoma City, OK