Charles Gamboa, OD in Washington, DC - Medicare Optometrist Provider

Charles Gamboa, OD is a medicare enrolled "Optometrist" provider in Washington, District Of Columbia. His current practice location is 1776 Eye St Nw, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 331-3931.

Charles Gamboa is licensed to practice in Virginia (license number 0618002328) 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 1548675515.

Contact Information

	Charles Gamboa, OD
	1776 Eye St Nw, Washington, DC 20006-3700
	(202) 331-3931
	(202) 331-3932

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Gamboa
Gender	Male
Speciality	Optometrist
Location	1776 Eye St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548675515
Provider Enumeration Date: 06/27/2014
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2163643818
Enrollment ID: I20141021001915

Medical Identifiers

Medical identifiers for Charles Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548675515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618002328 (Virginia)	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. Charles Gamboa allows following entities to bill medicare on his behalf.

Provider Name	Lexington Park Optometry Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477673879 PECOS PAC ID: 0749404416 Enrollment ID: O20140619001327

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. Charles Gamboa 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
Charles Gamboa, OD 1950 Old Gallows Rd, 520, Vienna, VA 22182-3990 Ph: (703) 847-8899	Charles Gamboa, OD 1776 Eye St Nw, Washington, DC 20006-3700 Ph: (202) 331-3931

Reviews and Comments

Optometrist in Washington, DC

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Dr. Sara Lee Aggarwal, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 K St Nw, 64, Washington, DC 20001 Phone: 202-898-1060 Fax: 202-898-0472
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Charles Gamboa, OD - Medicare Optometrist in Washington, DC