Mr Craig D Dejong, OD in Glenwood, MN - Medicare Optometrist Provider

Mr Craig D Dejong, OD is a medicare enrolled "Optometrist" provider in Glenwood, Minnesota. His current practice location is 24 1st St Se, Glacial Ridge Eye Clinic, Inc, Glenwood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 634-4516.

Mr Craig D Dejong is licensed to practice in Minnesota (license number 2027) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063486124.

Contact Information

	Mr Craig D Dejong, OD
	24 1st St Se, Glacial Ridge Eye Clinic, Inc, Glenwood, MN 56334-1619
	(320) 634-4516
	(320) 634-4520

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Craig D Dejong
Gender	Male
Speciality	Optometrist
Location	24 1st St Se, Glenwood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063486124
Provider Enumeration Date: 02/15/2006
Last Update Date: 09/06/2007

Medicare PECOS Information:

PECOS PAC ID: 3173594355
Enrollment ID: I20040803000276

Medical Identifiers

Medical identifiers for Mr Craig D Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063486124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2027 (Minnesota)	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. Mr Craig D Dejong allows following entities to bill medicare on his behalf.

Provider Name	Vandesteeg & Larson Optometric Clinic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851496053 PECOS PAC ID: 6800822859 Enrollment ID: O20050712000500

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. Mr Craig D Dejong 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
Mr Craig D Dejong, OD 24 1st St Se, Glacial Ridge Eye Clinic, Inc, Glenwood, MN 56334-1619 Ph: (320) 634-4516	Mr Craig D Dejong, OD 24 1st St Se, Glacial Ridge Eye Clinic, Inc, Glenwood, MN 56334-1619 Ph: (320) 634-4516

Reviews and Comments

Optometrist in Glenwood, MN

Dr. Joseph Anthony Schneiderhan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16 Minnesota Ave W Ste 102, Glenwood, MN 56334 Phone: 320-334-3264 Fax: 320-334-3182
Glacial Ridge Eye Clinic, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24 1st St Se, Glenwood, MN 56334 Phone: 320-634-4516
Glacial Ridge Hospital District Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 Phone: 320-334-3264 Fax: 320-334-3256

Mr Craig D Dejong, OD - Medicare Optometrist in Glenwood, MN