Richard A Kjome, OD in Antigo, WI - Medicare Optometrist Provider

Richard A Kjome, OD is a medicare enrolled "Optometrist" provider in Antigo, Wisconsin. His current practice location is 714 3rd Ave, Antigo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 623-2180.

Richard A Kjome is licensed to practice in Wisconsin (license number 1477-035) 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 1205992088.

Contact Information

	Richard A Kjome, OD
	714 3rd Ave, Antigo, WI 54409-2044
	(715) 623-2180
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Richard A Kjome
Gender	Male
Speciality	Optometrist
Location	714 3rd Ave, Antigo, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205992088
Provider Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0244300382
Enrollment ID: I20080602000635

Medical Identifiers

Medical identifiers for Richard A Kjome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205992088	NPI	-	NPPES
38563700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1477-035 (Wisconsin)	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. Richard A Kjome allows following entities to bill medicare on his behalf.

Provider Name	Antigo Vision Clinic Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295915460 PECOS PAC ID: 0547330342 Enrollment ID: O20080605000582

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. Richard A Kjome 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
Richard A Kjome, OD Po Box 238, Antigo, WI 54409-0238 Ph: (715) 623-2180	Richard A Kjome, OD 714 3rd Ave, Antigo, WI 54409-2044 Ph: (715) 623-2180

Reviews and Comments

Optometrist in Antigo, WI

Antigo Vision Clinic Sc Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244
Antigo Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 5th Ave, Antigo, WI 54409 Phone: 715-623-3620 Fax: 715-623-3333
Midline Vision Group Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244

Richard A Kjome, OD - Medicare Optometrist in Antigo, WI