Crossroads Optometric Clinic, Inc. - Medicare Optometrist in Prior Lake, MN

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Crossroads Optometric Clinic, Inc. is a medicare enrolled "Optometrist" provider in Prior Lake, Minnesota. Their current practice location is 16250 Duluth Ave Se Ste 100, Prior Lake, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 447-2020.

Crossroads Optometric Clinic, Inc. is licensed to practice in Minnesota (license number 0001425) and it also participates in the medicare program. Crossroads Optometric Clinic, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164448627.

Contact Information

Crossroads Optometric Clinic, Inc.
16250 Duluth Ave Se Ste 100,
Prior Lake, MN 55372-2883
(952) 447-2020
(952) 447-2322

Map and Direction




Healthcare Provider's Profile

Full NameCrossroads Optometric Clinic, Inc.
TypeFacility
SpecialityOptometrist
Location16250 Duluth Ave Se Ste 100, Prior Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164448627
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991733289
  • Enrollment ID: O20050728000430

Medical Identifiers

Medical identifiers for Crossroads Optometric Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164448627NPI-NPPES
92364OtherMNPREFERRED ONE
2123989OtherMNMEDICA DME
3C258CROtherMNBCBS DME
4825OtherMNHEALTHPARTNERS
51154HIOtherMNBCBS-MN
2223987OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0001425 (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. Crossroads Optometric Clinic, Inc. acts as a billing entity for following providers:
Provider NameLisa A Dawson-clausen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003803677
PECOS PAC ID: 9830108646
Enrollment ID: I20060406000086
Provider NameTara R Barth
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548499676
PECOS PAC ID: 7719159649
Enrollment ID: I20111018000638
Provider NameTimothy J Hurley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518928845
PECOS PAC ID: 3072764679
Enrollment ID: I20121107000597
Provider NameEmily A Ufken
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467712133
PECOS PAC ID: 0941436265
Enrollment ID: I20150126001474
Provider NameAbigail Lea Richie
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316397615
PECOS PAC ID: 8921392127
Enrollment ID: I20160811000301
Provider NameKassandra M Wedeking
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245671932
PECOS PAC ID: 7517185465
Enrollment ID: I20180910001049

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. Crossroads Optometric Clinic, Inc. 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
Crossroads Optometric Clinic, Inc.
16250 Duluth Ave Se Ste 100,
Prior Lake, MN 55372-2883

Ph: (952) 447-2020		Crossroads Optometric Clinic, Inc.
16250 Duluth Ave Se Ste 100,
Prior Lake, MN 55372-2883

Ph: (952) 447-2020

Reviews and Comments


Optometrist in Prior Lake, MN

Lisa Anne Dawson-clausen, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 16250 Duluth Ave Se Ste 100, Prior Lake, MN 55372
Phone: 952-447-2020    Fax: 952-447-2322
Dr. Sara Rae Betterly Wallen,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372
Phone: 952-233-2955    
S.j.r. Eye Care Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5700 Fairlawn Shores Trl Se, Prior Lake, MN 55372
Phone: 612-578-5675    
Dr. Wayne Gene Hines, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 14120 Commerce Ave Ne, Suite 100, Prior Lake, MN 55372
Phone: 952-447-2020    Fax: 952-447-2322

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.