Dr Chantal H Jacques, OD in Chantilly, VA - Medicare Optometrist Provider

Dr Chantal H Jacques, OD is a medicare enrolled "Optometrist" provider in Chantilly, Virginia. Her current practice location is 14337 Newbrook Dr Ste 400, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 512-5990.

Dr Chantal H Jacques is licensed to practice in Virginia (license number 0618002953) 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 1801025960.

Contact Information

	Dr Chantal H Jacques, OD
	14337 Newbrook Dr Ste 400, Chantilly, VA 20151-4259
	(571) 512-5990
	(571) 512-5989

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Chantal H Jacques
Gender	Female
Speciality	Optometrist
Location	14337 Newbrook Dr Ste 400, Chantilly, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801025960
Provider Enumeration Date: 07/10/2009
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8527196112
Enrollment ID: I20210104002070

Medical Identifiers

Medical identifiers for Dr Chantal H Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801025960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2009016926 (Missouri)	Secondary
152W00000X	Optometrist	046.010234 (Illinois)	Secondary
152W00000X	Optometrist	0618002953 (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. Dr Chantal H Jacques allows following entities to bill medicare on her behalf.

Provider Name	University Of Pikeville
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841657947 PECOS PAC ID: 6709120942 Enrollment ID: O20181129001068

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 Chantal H Jacques 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 Chantal H Jacques, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Dr Chantal H Jacques, OD 14337 Newbrook Dr Ste 400, Chantilly, VA 20151-4259 Ph: (571) 512-5990

Reviews and Comments

Optometrist in Chantilly, VA

Dr. Hun Ki Hong, Optometrist Medicare: Medicare Enrolled Practice Location: 14337 Newbrook Dr Ste 400, Chantilly, VA 20151 Phone: 571-512-5990
Moa Mid-atlantic Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3910 Centreville Rd Ste 102, Chantilly, VA 20151 Phone: 703-719-8811 Fax: 703-263-2441
Eye And Vision Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4221 Walney Rd, Suite 100, Chantilly, VA 20151 Phone: 703-961-9119
Dr. Neha Kapoor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 25055 Riding Plz, Suite 100, Chantilly, VA 20152 Phone: 703-957-3384
Dr. Deborah Kim Cho, OD Optometrist Medicare: Medicare Enrolled Practice Location: 14337 Newbrook Dr Ste 400, Chantilly, VA 20151 Phone: 571-512-5990 Fax: 571-512-5989
Susan Ly, DR. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151 Phone: 703-817-0748 Fax: 703-817-0748
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 Phone: 703-847-8899 Fax: 866-795-4020

Dr Chantal H Jacques, OD - Medicare Optometrist in Chantilly, VA