Kylie Marie Divine, OD - Medicare Optometrist in Poplar Bluff, MO

Kylie Marie Divine, OD is a medicare enrolled "Optometrist" provider in Poplar Bluff, Missouri. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. Her current practice location is 1347 North Westwood Blvd., Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 712-2333.

Kylie Marie Divine is licensed to practice in Missouri (license number 2010020558) 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 1558672162.

Contact Information

Kylie Marie Divine, OD
1347 North Westwood Blvd.,
Poplar Bluff, MO 63901
(573) 712-2333
(573) 712-2433

Map and Direction




Healthcare Provider's Profile

Full NameKylie Marie Divine
GenderFemale
SpecialityOptometry
Experience14 Years
Location1347 North Westwood Blvd., Poplar Bluff, Missouri
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:
  • Kylie Marie Divine attended and graduated from University Of Missouri St Louis - School Of Optometry in 2010
  NPI Data:
  • NPI Number: 1558672162
  • Provider Enumeration Date: 06/29/2010
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5193840932
  • Enrollment ID: I20100916000485

Medical Identifiers

Medical identifiers for Kylie Marie Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558672162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2010020558 (Missouri)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. Kylie Marie Divine allows following entities to bill medicare on her behalf.
Provider NameDivine Family Eye Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871859918
PECOS PAC ID: 8123281482
Enrollment ID: O20120523000713

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. Kylie Marie Divine 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
Kylie Marie Divine, OD
1347 N Westwood Blvd,
Poplar Bluff, MO 63901-3313

Ph: (573) 712-2333
Kylie Marie Divine, OD
1347 North Westwood Blvd.,
Poplar Bluff, MO 63901

Ph: (573) 712-2333

Reviews and Comments


Optometrist in Poplar Bluff, MO

Dr. Kayla S Melton, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-4303    
Drjerry W Long Optometry
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901
Phone: 573-785-8476    Fax: 573-785-8477
Dr. Michael R. Penney Optometrist Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-785-1442    Fax: 573-776-6024
Franklin Vision Group
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901
Phone: 409-617-9774    
Dr Jerry W Long Optometry
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901
Phone: 573-785-8476    Fax: 573-785-8477
Tyler N Tinsley, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901
Phone: 573-686-3991    Fax: 573-686-3992
Dr. Jerry Wayne Long, O.D
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901
Phone: 573-785-8476    Fax: 573-785-8477

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.