Angelica A Echiverri, OD in Provo, UT - Medicare Optometrist Provider

Angelica A Echiverri, OD is a medicare enrolled "Optometrist" provider in Provo, Utah. Her current practice location is 122 E 1700 S Bldg 3, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 248-5550.

Angelica A Echiverri is licensed to practice in Utah (license number 14111771-9934) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356032205.

Contact Information

	Angelica A Echiverri, OD
	122 E 1700 S Bldg 3, Provo, UT 84606-5644
	(385) 248-5550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angelica A Echiverri
Gender	Female
Speciality	Optometrist
Location	122 E 1700 S Bldg 3, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356032205
Provider Enumeration Date: 05/19/2023
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8022479849
Enrollment ID: I20230726002404

Medical Identifiers

Medical identifiers for Angelica A Echiverri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356032205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC6261 (Florida)	Secondary
152W00000X	Optometrist	14111771-9934 (Utah)	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. Angelica A Echiverri allows following entities to bill medicare on her behalf.

Provider Name	University Of Miami
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006

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. Angelica A Echiverri 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 Address	Practice Location Address
Angelica A Echiverri, OD 7865 S Bingham Junction Blvd Unit D417, Midvale, UT 84047-4977 Ph: (214) 517-5865	Angelica A Echiverri, OD 122 E 1700 S Bldg 3, Provo, UT 84606-5644 Ph: (385) 248-5550

Reviews and Comments

Optometrist in Provo, UT

Trevor Todd Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 River Park Dr Ste 245, Provo, UT 84604 Phone: 801-800-8508
Dr. Andrew Timothy Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N University Pkwy Ste 10a, Provo, UT 84604 Phone: 801-373-4550
Dr. Matthew Orgill, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1800 Novell Pl, Provo, UT 84606 Phone: 801-375-5125
Frank A Siddoway Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1675 N 200 W, #11-a, Provo, UT 84604 Phone: 801-374-2227 Fax: 801-374-5197
Mr. David O. Edmunds, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 204, Provo, UT 84604 Phone: 801-357-7373 Fax: 801-357-7217
East Bay Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1313 S University Ave, Provo, UT 84601 Phone: 801-377-9891 Fax: 801-356-6899
Dr. Traer Gary Caywood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1355 N University Ave, Suite 100, Provo, UT 84604 Phone: 801-377-4333 Fax: 801-370-3951

Angelica A Echiverri, OD - Medicare Optometrist in Provo, UT