Dr Lisa Marie Jeziorny Kerouac, OD - Medicare Optometrist in Belvidere, IL

Dr Lisa Marie Jeziorny Kerouac, OD is a medicare enrolled "Optometrist" provider in Belvidere, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Brent Dunlap Od Pc and her current practice location is 1400 Big Thunder Blvd, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 547-3456.

Dr Lisa Marie Jeziorny Kerouac is licensed to practice in Illinois (license number 046010449) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588951222.

Contact Information

Dr Lisa Marie Jeziorny Kerouac, OD
1400 Big Thunder Blvd,
Belvidere, IL 61008-1726
(815) 547-3456
Not Available



Healthcare Provider's Profile

Full NameDr Lisa Marie Jeziorny Kerouac
GenderFemale
SpecialityOptometry
Experience13 Years
Location1400 Big Thunder Blvd, Belvidere, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Marie Jeziorny Kerouac attended and graduated from Illinois College Of Optometry At Chicago in 2011
  NPI Data:
  • NPI Number: 1588951222
  • Provider Enumeration Date: 07/01/2011
  • Last Update Date: 01/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416127857
  • Enrollment ID: I20110823000476

Medical Identifiers

Medical identifiers for Dr Lisa Marie Jeziorny Kerouac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588951222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046010449 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brent Dunlap Od Pc41836495103

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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 Lisa Marie Jeziorny Kerouac allows following entities to bill medicare on her behalf.
Provider NameBrent Dunlap Od Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073647293
PECOS PAC ID: 4183649510
Enrollment ID: O20051013000920

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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 Lisa Marie Jeziorny Kerouac 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 Lisa Marie Jeziorny Kerouac, OD
15424 Sheffield Ln,
Orland Park, IL 60462-6719

Ph: (708) 805-7618
Dr Lisa Marie Jeziorny Kerouac, OD
1400 Big Thunder Blvd,
Belvidere, IL 61008-1726

Ph: (815) 547-3456

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Optometrist in Belvidere, IL

Family Optical Centre Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 304 No State St, Belvidere, IL 61008
Phone: 815-544-3431    Fax: 815-544-6932
Dr. Norbert J Kulpinski, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 304 N State St, Belvidere, IL 61008
Phone: 815-544-3431    Fax: 815-544-6932
William E. Pawlak P C
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2101 Gateway Center Dr, Belvidere, IL 61008
Phone: 815-547-5950    Fax: 815-547-7057
Family Optical Centre
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 304 N State St, Belvidere, IL 61008
Phone: 815-544-3431    Fax: 815-544-6932
West Point Optical Group
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 900 Belvidere Rd, Belvidere, IL 61008
Phone: 815-516-0380    
William Pawlak, O. D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2101 Gateway Center Dr, Belvidere, IL 61008
Phone: 815-547-5950    Fax: 815-547-7057

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