Dr Anisah Prueitt Shahidzadeh, OD is a medicare enrolled "Optometrist" provider in Corinth, Texas. She went to University Of Houston - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eyeq Vision Pllc and her current practice location is
3901 Fm 2181, Corinth, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 497-4971.
Dr Anisah Prueitt Shahidzadeh is licensed to practice in Texas (license number 6620TG) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922060706.
Healthcare Provider's Profile
| Full Name | Dr Anisah Prueitt Shahidzadeh |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 3901 Fm 2181, Corinth, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anisah Prueitt Shahidzadeh attended and graduated from University Of Houston - College Of Optometry in 2004
NPI Data:
- NPI Number: 1922060706
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 03/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 0547211104
- Enrollment ID: I20050201000908
Medical Identifiers
Medical identifiers for Dr Anisah Prueitt Shahidzadeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922060706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 6620TG (Texas) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 6620TG (Texas) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 6620TG (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eyeq Vision Pllc | 5294991741 | 2 |
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. Dr Anisah Prueitt Shahidzadeh allows following entities to bill medicare on her behalf.
| Provider Name | Eyeq Vision Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427347442
PECOS PAC ID: 5294991741
Enrollment ID: O20120727000108 |
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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. Dr Anisah Prueitt Shahidzadeh 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 |
|---|
Dr Anisah Prueitt Shahidzadeh, OD
4543 Lindenwood Dr,
Frisco, TX 75034-2623
Ph: (214) 794-9080 | Dr Anisah Prueitt Shahidzadeh, OD
3901 Fm 2181,
Corinth, TX 76210-4250
Ph: (940) 497-4971 |
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