Kristanza Marie Bronnenberg, OD - Medicare Optometrist in Cody, WY

Kristanza Marie Bronnenberg, OD is a medicare enrolled "Optometrist" provider in Cody, Wyoming. She went to Southern California College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Basin Vision Center, P.c. and her current practice location is 620 19th St, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 587-4206.

Kristanza Marie Bronnenberg is licensed to practice in Wyoming (license number 429T) 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 1801437140.

Contact Information

Kristanza Marie Bronnenberg, OD
620 19th St,
Cody, WY 82414-3305
(307) 587-4206
(307) 587-5539



Healthcare Provider's Profile

Full NameKristanza Marie Bronnenberg
GenderFemale
SpecialityOptometry
Experience4 Years
Location620 19th St, Cody, Wyoming
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:
  • Kristanza Marie Bronnenberg attended and graduated from Southern California College Of Optometry in 2020
  NPI Data:
  • NPI Number: 1801437140
  • Provider Enumeration Date: 10/07/2019
  • Last Update Date: 12/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002239639
  • Enrollment ID: I20200714003813

Medical Identifiers

Medical identifiers for Kristanza Marie Bronnenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801437140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 429T (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Basin Vision Center, P.c.27695785413

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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. Kristanza Marie Bronnenberg allows following entities to bill medicare on her behalf.
Provider NameBasin Vision Center, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689707820
PECOS PAC ID: 2769578541
Enrollment ID: O20071010000481

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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. Kristanza Marie Bronnenberg 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
Kristanza Marie Bronnenberg, OD
Po Box 2810,
Cody, WY 82414-2810

Ph: (307) 587-4206
Kristanza Marie Bronnenberg, OD
620 19th St,
Cody, WY 82414-3305

Ph: (307) 587-4206

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Optometrist in Cody, WY

Family Vision Clinic
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1708 Stampede Ave, Cody, WY 82414
Phone: 307-587-2404    Fax: 307-527-7368
Dr. Jacob G Despain, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1708 Stampede Ave, Cody, WY 82414
Phone: 307-587-2404    Fax: 307-527-7368
Dr. Jonathan Hartley, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 620 19th St, Cody, WY 82414
Phone: 307-587-4206    Fax: 307-587-5539
Dr. James Harvey Bell, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 620 19th St, Cody, WY 82414
Phone: 307-587-4206    Fax: 307-587-5539
Alisa K Stewart, OPTICIAN
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 424 Yellowstone Ave, Suite 110, Cody, WY 82414
Phone: 307-587-5788    
Mr. Richard D Jones, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1708 Stampede Ave, Cody, WY 82414
Phone: 307-587-2404    Fax: 307-527-7368
Dr. Terence John Cole, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1531 Bleistein, Cody, WY 82414
Phone: 307-587-4206    Fax: 307-587-5539

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