Kregg Koons OD Inc

A Medicare group practice based in Muncie, IN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5698724706), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698724706The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050115000021 IN Part B Supplier - Clinic/Group Practice 1902143456
O20180621000370 IN DME Supplier - Physician - Optometrist 1235624289
O20150908002494 IN DME Supplier - Physician - Optometrist 1902143456

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page