Krystle Ann Villamayor, is a medicare enrolled "Optometrist" provider in Rosedale, Maryland. Her current practice location is
7106 Ridge Rd, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 866-2022.
Krystle Ann Villamayor is licensed to practice in Maryland (license number TA2883) 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 1043937402.
Healthcare Provider's Profile
Full Name | Krystle Ann Villamayor |
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Gender | Female |
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Speciality | Optometrist |
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Location | 7106 Ridge Rd, Rosedale, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043937402
- Provider Enumeration Date: 10/25/2022
- Last Update Date: 10/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133597131
- Enrollment ID: I20221123000400
Medical Identifiers
Medical identifiers for Krystle Ann Villamayor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043937402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA2883 (Maryland) | 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. Krystle Ann Villamayor allows following entities to bill medicare on her behalf.
Provider Name | Katzen Medical Associates Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1326052614 PECOS PAC ID: 9436051232 Enrollment ID: O20180207002148 |
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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. Krystle Ann Villamayor 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 |
Krystle Ann Villamayor, 4640 Riddle Dr, Nottingham, MD 21236-5703 Ph: () - | Krystle Ann Villamayor, 7106 Ridge Rd, Rosedale, MD 21237-3875 Ph: (410) 866-2022 |
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