Kylene Ann Polhamus, OD - Medicare Optometrist in Elkhart, IN

Kylene Ann Polhamus, OD is a medicare enrolled "Optometrist" provider in Elkhart, Indiana. She went to Indiana University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Indianapolis Ophthalmology Pc and her current practice location is 2746 Old Us 20 W, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 293-3545.

Kylene Ann Polhamus is licensed to practice in Indiana (license number 18003841A) 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 1427464890.

Contact Information

Kylene Ann Polhamus, OD
2746 Old Us 20 W,
Elkhart, IN 46514-1364
(574) 293-3545
Not Available



Healthcare Provider's Profile

Full NameKylene Ann Polhamus
GenderFemale
SpecialityOptometry
Experience10 Years
Location2746 Old Us 20 W, Elkhart, Indiana
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:
  • Kylene Ann Polhamus attended and graduated from Indiana University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1427464890
  • Provider Enumeration Date: 07/07/2014
  • Last Update Date: 07/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7810117728
  • Enrollment ID: I20140926002007

Medical Identifiers

Medical identifiers for Kylene Ann Polhamus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427464890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18003841A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indianapolis Ophthalmology Pc93351903546

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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. Kylene Ann Polhamus allows following entities to bill medicare on her behalf.
Provider NameIndianapolis Ophthalmology Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902910359
PECOS PAC ID: 9335190354
Enrollment ID: O20050208000292

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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. Kylene Ann Polhamus 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
Kylene Ann Polhamus, OD
14700 County Murray Dr,
Granger, IN 46530-8988

Ph: (574) 220-8703
Kylene Ann Polhamus, OD
2746 Old Us 20 W,
Elkhart, IN 46514-1364

Ph: (574) 293-3545

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Optometrist in Elkhart, IN

Michiana Eye Center , Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2216 Cassopolis St, Elkhart, IN 46514
Phone: 574-266-2111    Fax: 574-266-0555
Myeyedr.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3701 S Main St, Elkhart, IN 46517
Phone: 574-875-8511    Fax: 574-875-8763
Jennifer Houseknecht, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3701 S Main St, Elkhart, IN 46517
Phone: 574-875-4499    Fax: 855-326-4293
Dr. David Roger Britzke, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 830 Parkway Ave Ste E, Elkhart, IN 46516
Phone: 574-970-7444    
Dr. Jennifer Suzanne Wade, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 175 County Road 6 W, Elkhart, IN 46514
Phone: 574-266-7465    Fax: 574-266-7467
Olivia Elston,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3701 S Main St, Elkhart, IN 46517
Phone: 574-875-8511    
Dr. Amy H Layman, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2746 Old Us 20 W, Elkhart, IN 46514
Phone: 574-293-3545    Fax: 574-522-0599

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