Dr Kyle Douglas Wilson, OD - Medicare Optometrist in Farmington, CT

Dr Kyle Douglas Wilson, OD is a medicare enrolled "Optometrist" provider in Farmington, Connecticut. He went to Ohio State University - College Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. His current practice location is 61 Westfarms Mall, D111, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (801) 473-9002.

Dr Kyle Douglas Wilson is licensed to practice in Colorado (license number 3124) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508207309.

Contact Information

Dr Kyle Douglas Wilson, OD
61 Westfarms Mall, D111,
Farmington, CT 06032-2631
(801) 473-9002
Not Available



Healthcare Provider's Profile

Full NameDr Kyle Douglas Wilson
GenderMale
SpecialityOptometry
Experience11 Years
Location61 Westfarms Mall, Farmington, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kyle Douglas Wilson attended and graduated from Ohio State University - College Of Optometry in 2013
  NPI Data:
  • NPI Number: 1508207309
  • Provider Enumeration Date: 07/10/2013
  • Last Update Date: 07/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5597997908
  • Enrollment ID: I20191002002618

Medical Identifiers

Medical identifiers for Dr Kyle Douglas Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508207309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 8674334-9934 (Utah)Secondary
152W00000XOptometrist 2897 (Connecticut)Secondary
152W00000XOptometrist 3124 (Colorado)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. Dr Kyle Douglas Wilson allows following entities to bill medicare on his behalf.
Provider NameKyle D Wilson Od Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194373886
PECOS PAC ID: 6709116833
Enrollment ID: O20191002002525

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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. Dr Kyle Douglas Wilson 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
Dr Kyle Douglas Wilson, OD
158 Inverness Dr W, A309,
Englewood, CO 80112-5026

Ph: (801) 473-9002
Dr Kyle Douglas Wilson, OD
61 Westfarms Mall, D111,
Farmington, CT 06032-2631

Ph: (801) 473-9002

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Optometrist in Farmington, CT

Mrs. Grace Kehoe, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 276 Westfarms Mall, Farmington, CT 06032
Phone: 806-424-4371    
Consulting Ophthalmologists, Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 499 Farmington Avenue, Suite 100, Farmington, CT 06032
Phone: 860-674-7606    Fax: 860-678-0224
Dr. Wayne D. Jenkins, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 61 Westfarms Mall # D111, Farmington, CT 06032
Phone: 860-561-5687    Fax: 860-561-8905
Eyedocare,corp
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Westfarms Mall, Farmington, CT 06032
Phone: 860-674-6053    Fax: 860-674-6079
Dr. Kimberly A Ditolla, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 499 Farmington Ave, Suite 100, Farmington, CT 06032
Phone: 860-678-0202    Fax: 860-678-0224
Joel Roffer, O.d., Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S East Rd, Farmington, CT 06032
Phone: 860-678-8025    
Stephanie Gendal, O.D.
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 61 Westfarms Mall, D111, Farmington, CT 06032
Phone: 954-873-9833    

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