Kentucky Eye Surgery Associates Psc - Medicare in Louisville, KY

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Kentucky Eye Surgery Associates Psc is a medicare enrolled "Ophthalmology" provider in Louisville, Kentucky. Their current practice location is 4940 Hazelwood Avenue, Louisville, Kentucky. You can reach out to their office (for appointments etc.) via phone at (502) 368-3937.

Kentucky Eye Surgery Associates Psc is licensed to practice in Kentucky (license number 18740) and it also participates in the medicare program. Kentucky Eye Surgery Associates Psc 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 1588862361.

Contact Information

Kentucky Eye Surgery Associates Psc
4940 Hazelwood Avenue,
Louisville, KY 40214
(502) 368-3937
(502) 368-0231

Map and Direction




Healthcare Provider's Profile

Full NameKentucky Eye Surgery Associates Psc
TypeFacility
SpecialityOphthalmology
Location4940 Hazelwood Avenue, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588862361
  • Provider Enumeration Date: 07/03/2007
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789651761
  • Enrollment ID: O20040910000814

Medical Identifiers

Medical identifiers for Kentucky Eye Surgery Associates Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588862361NPI-NPPES
64187404MedicaidKY
CM8145OtherKYRAIL ROAD MEDICARE
1051615OtherKYPASSPORT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology 18740 (Kentucky)Primary
207W00000XOphthalmology 40981 (Kentucky)Secondary
207W00000XOphthalmology 39832 (Kentucky)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kentucky Eye Surgery Associates Psc acts as a billing entity for following providers:
Provider NameRishi Verma Kumar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114970415
PECOS PAC ID: 8123021201
Enrollment ID: I20070824000592
Provider NameTheodore Wandzilak
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013909753
PECOS PAC ID: 4183768617
Enrollment ID: I20100222000137
Provider NameSushil V Kumar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134278427
PECOS PAC ID: 7214904291
Enrollment ID: I20101206001026
Provider NameAshima K Gupta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073509592
PECOS PAC ID: 8921100066
Enrollment ID: I20131003000109
Provider NameMark Oechslin Mugavin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841618170
PECOS PAC ID: 0446567507
Enrollment ID: I20181005001413
Provider NameGuomin Jiang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174175749
PECOS PAC ID: 6204164346
Enrollment ID: I20190827002787
Provider NameRobert T Whitlow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255959706
PECOS PAC ID: 3577989110
Enrollment ID: I20200813001876

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. Kentucky Eye Surgery Associates Psc 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
Kentucky Eye Surgery Associates Psc
4940 Hazelwood Avenue,
Louisville, KY 40214

Ph: (502) 368-3937		Kentucky Eye Surgery Associates Psc
4940 Hazelwood Avenue,
Louisville, KY 40214

Ph: (502) 368-3937

Reviews and Comments



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.