Chisom Iwuanyanwu, OD is a medicare enrolled "Optometrist" provider in Laurelton, New York. Her current practice location is
217 14 Merrick Blvd, Laurelton, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 978-0100.
Chisom Iwuanyanwu is licensed to practice in New York (license number TUV007637-1) 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 1134422355.
Healthcare Provider's Profile
Full Name | Chisom Iwuanyanwu |
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Gender | Female |
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Speciality | Optometrist |
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Location | 217 14 Merrick Blvd, Laurelton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134422355
- Provider Enumeration Date: 12/09/2010
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204083751
- Enrollment ID: I20120906000031
Medical Identifiers
Medical identifiers for Chisom Iwuanyanwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134422355 | NPI | - | NPPES |
03556163 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TUV007637-1 (New York) | 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. Chisom Iwuanyanwu allows following entities to bill medicare on her behalf.
Provider Name | Bronx Vistasite Eyecare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1114244563 PECOS PAC ID: 7315129210 Enrollment ID: O20110315000041 |
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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. Chisom Iwuanyanwu 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 |
Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 | Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 |
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