Dr Leslie Nicole Perez, OD is a medicare enrolled "Optometrist" provider in San Jacinto, California. Her current practice location is
607 Donna Way, San Jacinto, California. You can reach out to her office (for appointments etc.) via phone at
(951) 654-0803.
Dr Leslie Nicole Perez is licensed to practice in California (license number 35228) 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 1942920939.
Healthcare Provider's Profile
| Full Name | Dr Leslie Nicole Perez |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 607 Donna Way, San Jacinto, 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: 1942920939
- Provider Enumeration Date: 08/30/2022
- Last Update Date: 08/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466813498
- Enrollment ID: I20230807002044
Medical Identifiers
Medical identifiers for Dr Leslie Nicole Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942920939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 35228 (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 Leslie Nicole Perez allows following entities to bill medicare on her behalf.
| Provider Name | Spectrum Eyecare Optometry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801949573
PECOS PAC ID: 5193821353
Enrollment ID: O20070503000592 |
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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 Leslie Nicole Perez 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 Leslie Nicole Perez, OD
250 S Reno St Apt 21,
Los Angeles, CA 90057-5501
Ph: (323) 384-7532 | Dr Leslie Nicole Perez, OD
607 Donna Way,
San Jacinto, CA 92583-5517
Ph: (951) 654-0803 |
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