Dr Judy Samattasribootr, OD in Birmingham, AL - Medicare Optometrist Provider

Dr Judy Samattasribootr, OD is a medicare enrolled "Optometrist" provider in Birmingham, Alabama. Her current practice location is 1716 University Boulevard, Hpb G080a, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 975-2020.

Dr Judy Samattasribootr is licensed to practice in Alabama (license number T-200-TA-847) 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 1609187079.

Contact Information

	Dr Judy Samattasribootr, OD
	1716 University Boulevard, Hpb G080a, Birmingham, AL 35294-0010
	(205) 975-2020
	(205) 934-6755

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Judy Samattasribootr
Gender	Female
Speciality	Optometrist
Location	1716 University Boulevard, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609187079
Provider Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010

Medicare PECOS Information:

PECOS PAC ID: 3072706357
Enrollment ID: I20150511001949

Medical Identifiers

Medical identifiers for Dr Judy Samattasribootr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609187079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T-200-TA-847 (Alabama)	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 Judy Samattasribootr allows following entities to bill medicare on her behalf.

Provider Name	Marshall B Ketchum University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720101876 PECOS PAC ID: 9739075177 Enrollment ID: O20040224000463

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 Judy Samattasribootr 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 Judy Samattasribootr, OD 1716 University Boulevard, Hpb G080a, Birmingham, AL 35294-0010 Ph: (205) 975-2020	Dr Judy Samattasribootr, OD 1716 University Boulevard, Hpb G080a, Birmingham, AL 35294-0010 Ph: (205) 975-2020

Reviews and Comments

Optometrist in Birmingham, AL

Elise Debruler Agostinelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1720 University Blvd, Birmingham, AL 35233 Phone: 205-488-0736
Dr. Elizabeth Steele, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 University Blvd, Hpb G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755
Dr. Albert C. Snyder, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1716 University Blvd, Hbp Building, Birmingham, AL 35294 Phone: 205-975-9827 Fax: 205-975-8281
Paul Dennis Batson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 State Farm Pkwy, Birmingham, AL 35209 Phone: 205-943-4600 Fax: 205-943-4660
Jsd Eyecare, L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9248 Parkway E, Birmingham, AL 35206 Phone: 205-833-3171 Fax: 205-833-3059
Margaret Kathleen Bailey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755
Kristy Y-van Nguyen, Optometrist Medicare: Medicare Enrolled Practice Location: 1716 University Blvd G080a, Birmingham, AL 35294 Phone: 205-975-2020 Fax: 205-934-6755

Dr Judy Samattasribootr, OD - Medicare Optometrist in Birmingham, AL