Shane Kinzer, OD in Moscow, ID - Medicare Optometrist Provider

Shane Kinzer, OD is a medicare enrolled "Optometrist" provider in Moscow, Idaho. His current practice location is 1844 W Pullman Rd, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-1800.

Shane Kinzer is licensed to practice in Idaho (license number 100626) 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 1427755511.

Contact Information

	Shane Kinzer, OD
	1844 W Pullman Rd, Moscow, ID 83843-4014
	(208) 883-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Kinzer
Gender	Male
Speciality	Optometrist
Location	1844 W Pullman Rd, Moscow, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427755511
Provider Enumeration Date: 02/09/2023
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1254792526
Enrollment ID: I20230802003477

Medical Identifiers

Medical identifiers for Shane Kinzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427755511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	100626 (Idaho)	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. Shane Kinzer allows following entities to bill medicare on his behalf.

Provider Name	Wilson Polito Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710276324 PECOS PAC ID: 9931386174 Enrollment ID: O20110615000542

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. Shane Kinzer 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
Shane Kinzer, OD 1844 W Pullman Rd, Moscow, ID 83843-4014 Ph: () -	Shane Kinzer, OD 1844 W Pullman Rd, Moscow, ID 83843-4014 Ph: (208) 883-1800

Reviews and Comments

Optometrist in Moscow, ID

Optic Art Ii, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-2932
Dr. Stacie Zollman, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 872 Troy Rd Ste 130, Moscow, ID 83843 Phone: 208-883-1800
Nevada Rae Sweeney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1205 E 6th St, Moscow, ID 83843 Phone: 208-882-3434
Dr. Tyler Paul Zaugg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1205 E 6th St, Moscow, ID 83843 Phone: 208-882-3434
Mr. Randall Perry Cummings, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 S Blaine St Ste 6, Moscow, ID 83843 Phone: 208-882-2020 Fax: 208-882-2020
Dr. Rodger Dean Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-2932 Fax: 208-882-8776
Wilson Polito Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1844 W Pullman Rd, Moscow, ID 83843 Phone: 208-883-1800 Fax: 208-883-1811

Shane Kinzer, OD - Medicare Optometrist in Moscow, ID