Kalamazoo Ophthalmology Pc - Medicare in Portage, MI

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Kalamazoo Ophthalmology Pc is a medicare enrolled "Ophthalmology" provider in Portage, Michigan. Their current practice location is 3412 W Centre Ave, Portage, Michigan. You can reach out to their office (for appointments etc.) via phone at (269) 329-5860.

Kalamazoo Ophthalmology Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kalamazoo Ophthalmology Pc 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 1467475723.

Contact Information

Kalamazoo Ophthalmology Pc
3412 W Centre Ave,
Portage, MI 49024-4624
(269) 329-5860
(269) 329-5865

Map and Direction




Healthcare Provider's Profile

Full NameKalamazoo Ophthalmology Pc
TypeFacility
SpecialityOphthalmology
Location3412 W Centre Ave, Portage, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467475723
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 02/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8628112380
  • Enrollment ID: O20100218000226

Medical Identifiers

Medical identifiers for Kalamazoo Ophthalmology Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467475723NPI-NPPES
180C960320OtherBCBS GROUP
FS003034OtherMIFERRIS STANDIFORD
1863900012OtherGREGORY BIBART
900C965580OtherFERRIS STANDIFORD
GB072121OtherMIGREGORY BIBART
1803906051OtherGREGORY BIBART
SH405954OtherMISTEPHEN HIGGINS
2669516MedicaidMI
180C910010OtherBCN GROUP
4415148MedicaidMI
1803901811OtherSTEPHEN HIGGINS
4073524MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kalamazoo Ophthalmology Pc acts as a billing entity for following providers:
Provider NameLynnette R Blostica
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053524884
PECOS PAC ID: 4284724113
Enrollment ID: I20071217000091
Provider NameFerris R Standiford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164485801
PECOS PAC ID: 2062548027
Enrollment ID: I20100329000865
Provider NameStephen E Higgins
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235104845
PECOS PAC ID: 9739133364
Enrollment ID: I20120222000458
Provider NameGregory C Bibart
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871568485
PECOS PAC ID: 4284778952
Enrollment ID: I20120426000606
Provider NameLiesel M Zima
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1316352024
PECOS PAC ID: 8921315375
Enrollment ID: I20180803000751

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. Kalamazoo Ophthalmology Pc 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 AddressPractice Location Address
Kalamazoo Ophthalmology Pc
3412 W Centre Ave,
Portage, MI 49024-4624

Ph: (269) 329-5860		Kalamazoo Ophthalmology Pc
3412 W Centre Ave,
Portage, MI 49024-4624

Ph: (269) 329-5860

Reviews and Comments



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