Dr Jaclyn T Phan, OD in Bothell, WA - Medicare Optometrist Provider

Dr Jaclyn T Phan, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Bothell, Washington. Her current practice location is 1912 201st Pl Se, Suite 204, Bothell, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 485-6812.

Dr Jaclyn T Phan is licensed to practice in Washington (license number 3357) 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 1114078235.

Contact Information

	Dr Jaclyn T Phan, OD
	1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570
	(425) 485-6812
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaclyn T Phan
Gender	Female
Speciality	Optometrist - Corneal And Contact Management
Location	1912 201st Pl Se, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114078235
Provider Enumeration Date: 01/16/2007
Last Update Date: 11/23/2007

Medicare PECOS Information:

PECOS PAC ID: 3678657087
Enrollment ID: I20080225000168

Medical Identifiers

Medical identifiers for Dr Jaclyn T Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114078235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	3357 (Washington)	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 Jaclyn T Phan allows following entities to bill medicare on her behalf.

Provider Name	Blue Wave Eye Doctors Professional Limited Liability Company
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053060475 PECOS PAC ID: 5294116265 Enrollment ID: O20230104002260

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 Jaclyn T Phan 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 Jaclyn T Phan, OD 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 Ph: (425) 485-6812	Dr Jaclyn T Phan, OD 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 Ph: (425) 485-6812

Reviews and Comments

Optometrist in Bothell, WA

Dr. Douglas C Barton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22833 Bothell Everett Hwy, Ste. 154, Bothell, WA 98021 Phone: 425-485-0430
Umema Ahmed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22616 Bothell Everett Hwy, Ste 2, Bothell, WA 98021 Phone: 425-486-8074
Roy Bartlett Do Ps Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14050 Juanita Dr Ne, Suite A, Bothell, WA 98011 Phone: 425-820-2020
Elizabeth Y. Chang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10202 Ne 185th St, Bothell, WA 98011 Phone: 425-486-2121
Mayemura, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14050 Juanita Dr Ne, Ste. A, Bothell, WA 98011 Phone: 425-820-2020
Near Vision Institute Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18920 Bothell Way Ne Ste 203, Bothell, WA 98011 Phone: 425-354-3998 Fax: 425-949-4491

Dr Jaclyn T Phan, OD - Medicare Optometrist in Bothell, WA