Kristen Marie Semenick, OD - Medicare Optometrist in Dover, DE

Kristen Marie Semenick, OD is a medicare enrolled "Optometrist" provider in Dover, Delaware. She went to Pennsylvania College Of Optometry and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Delaware Eye Care Center Pa and her current practice location is 833 South Governors Av, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 674-1121.

Kristen Marie Semenick is licensed to practice in Delaware (license number 130001300) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700851383.

Contact Information

Kristen Marie Semenick, OD
833 South Governors Av,
Dover, DE 19904-4158
(302) 674-1121
(302) 674-3891

Map and Direction




Healthcare Provider's Profile

Full NameKristen Marie Semenick
GenderFemale
SpecialityOptometry
Experience24 Years
Location833 South Governors Av, Dover, Delaware
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Marie Semenick attended and graduated from Pennsylvania College Of Optometry in 2000
  NPI Data:
  • NPI Number: 1700851383
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 07/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4688612013
  • Enrollment ID: I20051007000096

Medical Identifiers

Medical identifiers for Kristen Marie Semenick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700851383NPI-NPPES
510111OPTOtherDEBCBS OF DELAWARE
1000037722MedicaidDE
2623617000OtherDEAMERI HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 130001300 (Delaware)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Delaware Eye Care Center Pa600286876717

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. Kristen Marie Semenick allows following entities to bill medicare on her behalf.
Provider NameDelaware Eye Care Center Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932174505
PECOS PAC ID: 6002868767
Enrollment ID: O20050210000903

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. Kristen Marie Semenick 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
Kristen Marie Semenick, OD
833 South Governors Av,
Dover, DE 19904-4158

Ph: (302) 674-1121
Kristen Marie Semenick, OD
833 South Governors Av,
Dover, DE 19904-4158

Ph: (302) 674-1121

Reviews and Comments


Optometrist in Dover, DE

Dr. Michele Renee Haranin, OD
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Phone: 302-678-3545    Fax: 302-734-3115
L A Optics Ii
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Halpern Eye Care
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Tiffany Trinh Nguyen, OD
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Practice Location: 200 Banning St Ste 130, Dover, DE 19904
Phone: 302-678-1700    Fax: 302-678-2330
Priti V Patel, OD
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Medicare: Not Enrolled in Medicare
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Phone: 302-734-5861    Fax: 302-734-1921
Dr. Patricia Lynn Sparks, O.D.
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Medicare: Medicare Enrolled
Practice Location: 885 S Governors Ave, Dover, DE 19904
Phone: 302-734-5861    Fax: 302-734-1921
Dr. Tanya Malhotra, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 200 Banning St Ste 130, Dover, DE 19904
Phone: 302-678-1700    Fax: 302-678-2330

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.