Dr Jeffrey Roger Dougal, OD in Placentia, CA - Medicare Optometrist Provider

Dr Jeffrey Roger Dougal, OD is a medicare enrolled "Optometrist" provider in Placentia, California. His current practice location is 1201 N Rose Dr, Suite 100, Placentia, California. You can reach out to his office (for appointments etc.) via phone at (714) 528-2566.

Dr Jeffrey Roger Dougal is licensed to practice in California (license number 4880T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760560130.

Contact Information

	Dr Jeffrey Roger Dougal, OD
	1201 N Rose Dr, Suite 100, Placentia, CA 92870-3939
	(714) 528-2566
	(714) 993-5369

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Roger Dougal
Gender	Male
Speciality	Optometrist
Location	1201 N Rose Dr, Placentia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760560130
Provider Enumeration Date: 11/01/2006
Last Update Date: 10/09/2012

Medicare PECOS Information:

PECOS PAC ID: 1951377704
Enrollment ID: I20080626000727

Medical Identifiers

Medical identifiers for Dr Jeffrey Roger Dougal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760560130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4880T (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 Jeffrey Roger Dougal allows following entities to bill medicare on his behalf.

Provider Name	Nusite Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750886073 PECOS PAC ID: 8123382884 Enrollment ID: O20180503002276

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 Jeffrey Roger Dougal 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 Jeffrey Roger Dougal, OD 1201 N Rose Dr, Suite 100, Placentia, CA 92870-3939 Ph: (714) 528-2566	Dr Jeffrey Roger Dougal, OD 1201 N Rose Dr, Suite 100, Placentia, CA 92870-3939 Ph: (714) 528-2566

Reviews and Comments

Optometrist in Placentia, CA

Dr. Randall R Chun, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1874 N Placentia Ave, Placentia, CA 92870 Phone: 714-996-3937 Fax: 714-996-3938
Jeffrey Chen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 N Rose Dr Ste 100, Placentia, CA 92870 Phone: 714-528-2566 Fax: 714-993-5369
Dr. Robert James Thomas, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1201 N Rose Dr, Suite 100, Placentia, CA 92870 Phone: 714-528-2566 Fax: 714-993-5369
Dr. Wynette Cook Augustine, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 N Rose Dr Ste 100, Placentia, CA 92870 Phone: 714-528-2566 Fax: 562-988-7032
Eyecare Vision Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 1237 E Imperial Hwy, Placentia, CA 92870 Phone: 714-983-7088 Fax: 714-983-7263
Dr. Michael Swearingen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Rose Dr, Suite 100, Placentia, CA 92870 Phone: 714-528-2566 Fax: 714-993-5369
Michael P. Decarlo Optometrist, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1428 N Kraemer Blvd, Placentia, CA 92870 Phone: 714-996-1136 Fax: 714-996-0793

Dr Jeffrey Roger Dougal, OD - Medicare Optometrist in Placentia, CA