Dr Jean Catherine Church, OD is a medicare enrolled "Optometrist" provider in Piedmont, California. Her current practice location is
545 Boulevard Way, Piedmont, California. You can reach out to her office (for appointments etc.) via phone at
(510) 387-6787.
Dr Jean Catherine Church is licensed to practice in California (license number 11677T) 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 1730405606.
Healthcare Provider's Profile
| Full Name | Dr Jean Catherine Church |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 545 Boulevard Way, Piedmont, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730405606
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 04/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 9032395025
- Enrollment ID: I20180926003348
Medical Identifiers
Medical identifiers for Dr Jean Catherine Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730405606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 11677T (California) | 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 Jean Catherine Church allows following entities to bill medicare on her behalf.
| Provider Name | Greenbriar Vision Center, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609165653
PECOS PAC ID: 1153504014
Enrollment ID: O20111020000239 |
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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 Jean Catherine Church 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 Jean Catherine Church, OD
545 Boulevard Way,
Piedmont, CA 94610-1524
Ph: (510) 387-6787 | Dr Jean Catherine Church, OD
545 Boulevard Way,
Piedmont, CA 94610-1524
Ph: (510) 387-6787 |
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