Dr Lynnette Raye Blostica, OD - Medicare Optometrist in Portage, MI

Dr Lynnette Raye Blostica, OD is a medicare enrolled "Optometrist" provider in Portage, Michigan. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kalamazoo Ophthalmology Pc and her current practice location is 3412 W Centre Ave, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 329-5860.

Dr Lynnette Raye Blostica is licensed to practice in Michigan (license number 4901004446) 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 1053524884.

Contact Information

Dr Lynnette Raye Blostica, OD
3412 W Centre Ave,
Portage, MI 49024-4624
(269) 329-5860
(269) 329-5865



Healthcare Provider's Profile

Full NameDr Lynnette Raye Blostica
GenderFemale
SpecialityOptometry
Experience17 Years
Location3412 W Centre Ave, Portage, Michigan
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 Lynnette Raye Blostica graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1053524884
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284724113
  • Enrollment ID: I20071217000091

Medical Identifiers

Medical identifiers for Dr Lynnette Raye Blostica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053524884NPI-NPPES
945215713MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901004446 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kalamazoo Ophthalmology Pc86281123805

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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 Lynnette Raye Blostica allows following entities to bill medicare on her behalf.
Provider NameKalamazoo Ophthalmology Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1467475723
PECOS PAC ID: 8628112380
Enrollment ID: O20100218000226

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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 Lynnette Raye Blostica 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 Lynnette Raye Blostica, OD
3412 W Centre Ave,
Portage, MI 49024-4624

Ph: (269) 329-5860
Dr Lynnette Raye Blostica, OD
3412 W Centre Ave,
Portage, MI 49024-4624

Ph: (269) 329-5860

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Optometrist in Portage, MI

Dr. Katie Lynne Sutter, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 6101 Newport Rd Ste A, Portage, MI 49002
Phone: 269-382-6500    Fax: 269-382-2286
Mr. David C Mcclintic, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6123 S Westnedge Ave, Portage, MI 49002
Phone: 269-327-7079    Fax: 269-327-7165
David P Williams, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 410 E Centre Ave, Portage, MI 49002
Phone: 269-327-4454    Fax: 269-327-8717
West Point Optical Group
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6650 S Westnedge Ave, Suite 232, Portage, MI 49024
Phone: 269-237-2881    
Dr. Steven S. Ellinger, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1612 E. Centre Ave., Portage, MI 49002
Phone: 269-329-1030    Fax: 269-329-0966
Ferris R Standiford, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3412 W Centre Ave, Portage, MI 49024
Phone: 269-329-5870    Fax: 269-329-5865

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