Dr Karen Montalvo-sepulveda, OD - Medicare Optometrist in Aguadilla, PR

Dr Karen Montalvo-sepulveda, OD is a medicare enrolled "Optometrist" provider in Aguadilla, Puerto Rico. Her current practice location is Aguadilla Mall, # 39, Aguadilla, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 882-0078.

Dr Karen Montalvo-sepulveda is licensed to practice in Puerto Rico (license number 683) 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 1003119355.

Contact Information

Dr Karen Montalvo-sepulveda, OD
Aguadilla Mall, # 39,
Aguadilla, PR 00603
(787) 882-0078
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Karen Montalvo-sepulveda
GenderFemale
SpecialityOptometrist
LocationAguadilla Mall, Aguadilla, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003119355
  • Provider Enumeration Date: 12/08/2010
  • Last Update Date: 05/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4082982855
  • Enrollment ID: I20170620001218

Medical Identifiers

Medical identifiers for Dr Karen Montalvo-sepulveda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003119355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 683 (Puerto Rico)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 Karen Montalvo-sepulveda allows following entities to bill medicare on her behalf.
Provider NameLuxottica Of America Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114223781
PECOS PAC ID: 2567366180
Enrollment ID: O20170605000893

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 Karen Montalvo-sepulveda 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
Dr Karen Montalvo-sepulveda, OD
A6 Calle Cipres, Urb. Flamboyan,
Mayaguez, PR 00680-1860

Ph: (787) 617-6204
Dr Karen Montalvo-sepulveda, OD
Aguadilla Mall, # 39,
Aguadilla, PR 00603

Ph: (787) 882-0078

Reviews and Comments


Optometrist in Aguadilla, PR

Clinica Visual Del Oeste,csp
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Phone: 787-882-8367    Fax: 787-882-8365
Maria M Morales Blanco, O.D.
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Phone: 787-882-0078    Fax: 877-899-0454
Aguadilla Optical Eye
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Phone: 787-882-0303    Fax: 787-882-0399
Pearle Vision Aguadilla Mall
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Medicare: Not Enrolled in Medicare
Practice Location: Aguadilla Mall # 39, 17005 Carr 2 Ste 1040, Aguadilla, PR 00603
Phone: 787-653-2275    Fax: 877-899-0454

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.