Mr Scott H Kowallis, OD in Roosevelt, UT - Medicare Optometrist Provider

Mr Scott H Kowallis, OD is a medicare enrolled "Optometrist" provider in Roosevelt, Utah. His current practice location is 165 W 200 N, 71-7, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-2981.

Mr Scott H Kowallis is licensed to practice in Utah (license number 111999-9934) 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 1861487050.

Contact Information

	Mr Scott H Kowallis, OD
	165 W 200 N, 71-7, Roosevelt, UT 84066-2834
	(435) 722-2981
	(435) 722-3732

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Scott H Kowallis
Gender	Male
Speciality	Optometrist
Location	165 W 200 N, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861487050
Provider Enumeration Date: 09/14/2005
Last Update Date: 06/18/2008

Medicare PECOS Information:

PECOS PAC ID: 1153403837
Enrollment ID: I20080204000284

Medical Identifiers

Medical identifiers for Mr Scott H Kowallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861487050	NPI	-	NPPES
00437	Other		VA
107009195101	Other		IHC
123252	Other		MBA
870444057K02	Other		EDUCATOR'S MUTUAL
UT1999	Other		EYEMED
12466	Other		PEHP
000009840	Other	UT	MEDICARE LEGACY NUMBER
87041538400001	Other	UT	BCBS
87041538400001	Other		NTCA
1015	Other	UT	OPTICARE
87041538400001	Other	UT	VALUCARE
870444057	Other		VSP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	111999-9934 (Utah)	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 Scott H Kowallis allows following entities to bill medicare on his behalf.

Provider Name	Roosevelt Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710973052 PECOS PAC ID: 9830269844 Enrollment ID: O20080603000410

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 Scott H Kowallis 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 Scott H Kowallis, OD 165 W 200 N, 71-7, Roosevelt, UT 84066-2834 Ph: (435) 722-2981	Mr Scott H Kowallis, OD 165 W 200 N, 71-7, Roosevelt, UT 84066-2834 Ph: (435) 722-2981

Reviews and Comments

Optometrist in Roosevelt, UT

Roosevelt Vision Clinic, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732
Jon Preston Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N, 71-7, Roosevelt, UT 84066 Phone: 435-722-2981 Fax: 435-722-3732
Jason Kowallis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N, Roosevelt, UT 84066 Phone: 435-722-5890
Cade John Kowallis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 165 W 200 N # 71-1, Roosevelt, UT 84066 Phone: 435-823-2984

Mr Scott H Kowallis, OD - Medicare Optometrist in Roosevelt, UT