Shane Kinzer, OD - Medicare Optometrist in Moscow, ID

Shane Kinzer, OD is a medicare enrolled "Optometrist" provider in Moscow, Idaho. His current practice location is 1844 W Pullman Rd, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-1800.

Shane Kinzer is licensed to practice in Idaho (license number 100626) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427755511.

Contact Information

Shane Kinzer, OD
1844 W Pullman Rd,
Moscow, ID 83843-4014
(208) 883-1800
Not Available



Healthcare Provider's Profile

Full NameShane Kinzer
GenderMale
SpecialityOptometrist
Location1844 W Pullman Rd, Moscow, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427755511
  • Provider Enumeration Date: 02/09/2023
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254792526
  • Enrollment ID: I20230802003477

Medical Identifiers

Medical identifiers for Shane Kinzer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427755511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 100626 (Idaho)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. Shane Kinzer allows following entities to bill medicare on his behalf.
Provider NameWilson Polito Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1710276324
PECOS PAC ID: 9931386174
Enrollment ID: O20110615000542

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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. Shane Kinzer 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
Shane Kinzer, OD
1844 W Pullman Rd,
Moscow, ID 83843-4014

Ph: () -
Shane Kinzer, OD
1844 W Pullman Rd,
Moscow, ID 83843-4014

Ph: (208) 883-1800

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Optometrist in Moscow, ID

Optic Art Ii, P.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Main St, Moscow, ID 83843
Phone: 208-882-2932    
Dr. Stacie Zollman,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 872 Troy Rd Ste 130, Moscow, ID 83843
Phone: 208-883-1800    
Nevada Rae Sweeney, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1205 E 6th St, Moscow, ID 83843
Phone: 208-882-3434    
Dr. Tyler Paul Zaugg, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1205 E 6th St, Moscow, ID 83843
Phone: 208-882-3434    
Mr. Randall Perry Cummings, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1420 S Blaine St Ste 6, Moscow, ID 83843
Phone: 208-882-2020    Fax: 208-882-2020
Dr. Rodger Dean Robertson, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 213 N Main St, Moscow, ID 83843
Phone: 208-882-2932    Fax: 208-882-8776
Alpine Vision Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1844 W Pullman Rd, Moscow, ID 83843
Phone: 208-883-1800    Fax: 208-883-1811

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