Dr Jessika Benjamin, OD in Upland, CA - Medicare Optometrist Provider

Dr Jessika Benjamin, OD is a medicare enrolled "Optometrist" provider in Upland, California. Her current practice location is 471 N Central Ave, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 788-3433.

Dr Jessika Benjamin is licensed to practice in California (license number OPT33415TLG) 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 1568815611.

Contact Information

	Dr Jessika Benjamin, OD
	471 N Central Ave, Upland, CA 91786-4219
	(909) 788-3433
	(909) 624-7487

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessika Benjamin
Gender	Female
Speciality	Optometrist
Location	471 N Central Ave, Upland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568815611
Provider Enumeration Date: 07/13/2016
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2466712534
Enrollment ID: I20190301002441

Medical Identifiers

Medical identifiers for Dr Jessika Benjamin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568815611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT33415TLG (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 Jessika Benjamin allows following entities to bill medicare on her behalf.

Provider Name	Lucent Optometry Montclair Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124595368 PECOS PAC ID: 3072852490 Enrollment ID: O20190301002323

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 Jessika Benjamin 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 Jessika Benjamin, OD 9337 Monte Vista Ave, Montclair, CA 91763-1924 Ph: (909) 624-6809	Dr Jessika Benjamin, OD 471 N Central Ave, Upland, CA 91786-4219 Ph: (909) 788-3433

Reviews and Comments

Optometrist in Upland, CA

Dr. Lethuy T Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 553 N Mountain Ave, Upland, CA 91786 Phone: 909-985-2876 Fax: 909-946-8585
Rainbow Optometry,inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1183 E Foothill Blvd # 140, Upland, CA 91786 Phone: 909-608-0601 Fax: 909-608-0610
Dr. Diana Hanna, OD Optometrist Medicare: Medicare Enrolled Practice Location: 555 N. 13th Ave., Upland, CA 91786 Phone: 800-345-8979 Fax: 909-949-3967
Danny Duy Vu, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1540 W Foothill Blvd, Upland, CA 91786 Phone: 909-981-7634 Fax: 909-985-7497
Donald H Spaulding Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 944-a West Foothill Blvd, Upland, CA 91786 Phone: 909-982-3040 Fax: 909-982-9840
Lucent Optometry Montclair Inc Optometrist Medicare: Medicare Enrolled Practice Location: 471 N Central Ave, Upland, CA 91786 Phone: 909-788-3433 Fax: 099-129-8096
Jimmy K. So, Od, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1261 W Foothill Blvd Ste B, Upland, CA 91786 Phone: 909-982-9366 Fax: 909-982-2477

Dr Jessika Benjamin, OD - Medicare Optometrist in Upland, CA