Kelly Nicole Pouliot, OD in Palmer, MA - Medicare Optometrist Provider

Kelly Nicole Pouliot, OD is a medicare enrolled "Optometrist" provider in Palmer, Massachusetts. Her current practice location is 1504 N Main St, Palmer, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 283-3511.

Kelly Nicole Pouliot is licensed to practice in Massachusetts (license number S19215586) 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 1437843398.

Contact Information

	Kelly Nicole Pouliot, OD
	1504 N Main St, Palmer, MA 01069-1215
	(413) 283-3511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Nicole Pouliot
Gender	Female
Speciality	Optometrist
Location	1504 N Main St, Palmer, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437843398
Provider Enumeration Date: 06/05/2023
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0941650055
Enrollment ID: I20240102000549

Medical Identifiers

Medical identifiers for Kelly Nicole Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437843398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S19215586 (Massachusetts)	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 Nicole Pouliot allows following entities to bill medicare on her behalf.

Provider Name	Kelly And Velazquez Eye Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306847462 PECOS PAC ID: 3274603915 Enrollment ID: O20080606000075

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 Nicole Pouliot 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
Kelly Nicole Pouliot, OD 30 Hollywood St, South Hadley, MA 01075-3012 Ph: () -	Kelly Nicole Pouliot, OD 1504 N Main St, Palmer, MA 01069-1215 Ph: (413) 283-3511

Reviews and Comments

Optometrist in Palmer, MA

Dr. Sally T Carlos, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1448 N Main Street, Palmer, MA 01069 Phone: 413-283-2946
Quabbin Valley Eye Care Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1448 North Main Street, Suite 1, Palmer, MA 01069 Phone: 413-283-2946 Fax: 413-283-3631
Mr. Gary Wolf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1140 Thorndike St, Palmer, MA 01069 Phone: 413-283-2946 Fax: 413-283-3631
Dr Sally Carlos Od & Associates Optometrist Medicare: Medicare Enrolled Practice Location: 1448 N Main Street, Palmer, MA 01069 Phone: 413-283-2946 Fax: 413-283-3631
Dennis M Dorans, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1504 N Main St, Palmer, MA 01069 Phone: 413-283-3511 Fax: 413-283-5396
Germaine Oliver, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1448 N Main St, Palmer, MA 01069 Phone: 413-283-2946 Fax: 413-283-6361

Kelly Nicole Pouliot, OD - Medicare Optometrist in Palmer, MA