Kelly C-k Tierney, OD - Medicare Optometrist in Flint, MI

Kelly C-k Tierney, OD is a medicare enrolled "Optometrist" provider in Flint, Michigan. Her current practice location is 4281 Lennon Rd, Flint, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 720-9111.

Kelly C-k Tierney is licensed to practice in Michigan (license number 4901004430) 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 1073706578.

Contact Information

Kelly C-k Tierney, OD
4281 Lennon Rd,
Flint, MI 48507-1024
(810) 720-9111
(810) 720-9119

Map and Direction




Healthcare Provider's Profile

Full NameKelly C-k Tierney
GenderFemale
SpecialityOptometrist
Location4281 Lennon Rd, Flint, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073706578
  • Provider Enumeration Date: 08/20/2007
  • Last Update Date: 09/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022195155
  • Enrollment ID: I20120928000504

Medical Identifiers

Medical identifiers for Kelly C-k Tierney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073706578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 5725 (Ohio)Secondary
152W00000XOptometrist 4901004430 (Michigan)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. Kelly C-k Tierney allows following entities to bill medicare on her behalf.
Provider NameMichigan Vision Institute Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780746081
PECOS PAC ID: 1658317748
Enrollment ID: O20050629000285
Provider NameSvs Vision Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194879023
PECOS PAC ID: 9931257110
Enrollment ID: O20090427000507

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. Kelly C-k Tierney 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
Kelly C-k Tierney, OD
4281 Lennon Rd,
Flint, MI 48507-1024

Ph: (810) 720-9111
Kelly C-k Tierney, OD
4281 Lennon Rd,
Flint, MI 48507-1024

Ph: (810) 720-9111

Reviews and Comments


Optometrist in Flint, MI

Deborah Ann Sheere-gallatin, OD
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Michigan Eye Institute Optical
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Phone: 810-733-7111    Fax: 810-733-7141
Jennifer J. S. Risting, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 4499 Town Center Pkwy, Flint, MI 48532
Phone: 810-733-7111    

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.