Brooke Goonetilleke, OD in Fort Lee, NJ - Medicare Optometrist Provider

Brooke Goonetilleke, OD is a medicare enrolled "Optometrist" provider in Fort Lee, New Jersey. Her current practice location is 278 Mccloud Dr, Fort Lee, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 390-0369.

Brooke Goonetilleke is licensed to practice in New Jersey (license number 27OA00714900) 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 1790496826.

Contact Information

	Brooke Goonetilleke, OD
	278 Mccloud Dr, Fort Lee, NJ 07024-5304
	(201) 390-0369
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Goonetilleke
Gender	Female
Speciality	Optometrist
Location	278 Mccloud Dr, Fort Lee, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790496826
Provider Enumeration Date: 12/09/2022
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4880058940
Enrollment ID: I20230908000571

Medical Identifiers

Medical identifiers for Brooke Goonetilleke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790496826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	27OA00714900 (New Jersey)	Primary
152W00000X	Optometrist	TUV009604-01 (New York)	Secondary

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. Brooke Goonetilleke allows following entities to bill medicare on her behalf.

Provider Name	Eyewellniss
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578298535 PECOS PAC ID: 6406222488 Enrollment ID: O20221017000454

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. Brooke Goonetilleke 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
Brooke Goonetilleke, OD 278 Mccloud Dr, Fort Lee, NJ 07024-5304 Ph: (201) 390-0369	Brooke Goonetilleke, OD 278 Mccloud Dr, Fort Lee, NJ 07024-5304 Ph: (201) 390-0369

Reviews and Comments

Optometrist in Fort Lee, NJ

Dr. Harrison Leigh Rosenberg, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 Bridge Plz N, Fort Lee, NJ 07024 Phone: 201-944-6440
Eun Jung Kim, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1562 Lemoine Ave Ste 3, Fort Lee, NJ 07024 Phone: 201-461-7595
Envision Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 215 Main St, Fort Lee, NJ 07024 Phone: 201-944-9889 Fax: 201-944-9989
Dr. Paul Shahinian, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 104 Linwood Plz, Fort Lee, NJ 07024 Phone: 201-461-0661 Fax: 201-461-4111
Dr. Paul Shahinian, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 104 Linwood Plz, Fort Lee, NJ 07024 Phone: 201-461-0661 Fax: 201-461-4111
Dr. Evan Gee Young Joo, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Main St, Fort Lee, NJ 07024 Phone: 201-944-9889 Fax: 201-944-9989
My Vision Care Corpation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1580 Lemoine Ave, Suite 5, Fort Lee, NJ 07024 Phone: 201-944-9266 Fax: 201-944-6318

Brooke Goonetilleke, OD - Medicare Optometrist in Fort Lee, NJ