Kulsoom T Murtaza, OD in Prince George, VA - Medicare Optometrist Provider

Kulsoom T Murtaza, OD is a medicare enrolled "Optometrist" provider in Prince George, Virginia. Her current practice location is 2015 Waterside Rd, Prince George, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 733-7300.

Kulsoom T Murtaza is licensed to practice in Virginia (license number 0618001931) 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 1639181472.

Contact Information

	Kulsoom T Murtaza, OD
	2015 Waterside Rd, Prince George, VA 23875-1265
	(804) 733-7300
	(804) 733-7390

Map and Direction

Healthcare Provider's Profile

Full Name	Kulsoom T Murtaza
Gender	Female
Speciality	Optometrist
Location	2015 Waterside Rd, Prince George, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639181472
Provider Enumeration Date: 08/12/2006
Last Update Date: 02/14/2012

Medicare PECOS Information:

PECOS PAC ID: 0547267486
Enrollment ID: I20110215000229

Medical Identifiers

Medical identifiers for Kulsoom T Murtaza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639181472	NPI	-	NPPES
KM003908	Other	MI	STATE LICENSE NUMBER
900C363570	Other	MI	BLUE CROSS BLUE SHIELD
200000002790	Other	MI	PHPMM
0618001931	Other	VA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618001931 (Virginia)	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. Kulsoom T Murtaza allows following entities to bill medicare on her behalf.

Provider Name	Legacy Eye Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033470539 PECOS PAC ID: 7214185057 Enrollment ID: O20120919000665

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. Kulsoom T Murtaza 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
Kulsoom T Murtaza, OD 400 Westhampton Sta, Richmond, VA 23226-3330 Ph: (804) 287-4200	Kulsoom T Murtaza, OD 2015 Waterside Rd, Prince George, VA 23875-1265 Ph: (804) 733-7300

Reviews and Comments

Optometrist in Prince George, VA

Eye Surgeons Of Richmond, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-4200 Fax: 804-287-4210
Dr. Justin Autry, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7387
Wan Wang, Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-2020 Fax: 804-733-7390
Thomas Matlock Wyman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-4200
Olivia Novak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7390

Kulsoom T Murtaza, OD - Medicare Optometrist in Prince George, VA