Dr Pegah Raven, OD in Thousand Oaks, CA - Medicare Optometrist Provider

Dr Pegah Raven, OD is a medicare enrolled "Optometrist" provider in Thousand Oaks, California. Her current practice location is 2230 Lynn Rd Ste 102, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at (805) 495-0458.

Dr Pegah Raven is licensed to practice in California (license number 14492TLG) 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 1447560388.

Contact Information

	Dr Pegah Raven, OD
	2230 Lynn Rd Ste 102, Thousand Oaks, CA 91360-1920
	(805) 495-0458
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Pegah Raven
Gender	Female
Speciality	Optometrist
Location	2230 Lynn Rd Ste 102, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447560388
Provider Enumeration Date: 10/13/2010
Last Update Date: 12/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1557540929
Enrollment ID: I20221013002581

Medical Identifiers

Medical identifiers for Dr Pegah Raven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447560388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901004579 (Michigan)	Secondary
152W00000X	Optometrist	14492TLG (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 Pegah Raven allows following entities to bill medicare on her behalf.

Provider Name	Miramar Eye Specialists Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992746382 PECOS PAC ID: 5698662823 Enrollment ID: O20040901000325

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 Pegah Raven 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 Pegah Raven, OD Po Box 103010, Pasadena, CA 91189-0147 Ph: () -	Dr Pegah Raven, OD 2230 Lynn Rd Ste 102, Thousand Oaks, CA 91360-1920 Ph: (805) 495-0458

Reviews and Comments

Optometrist in Thousand Oaks, CA

Gina C Shao, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2322 E Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-557-1055
Dr. Paul Alan Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2125 E Thousand Oaks Blvd, Suite A, Thousand Oaks, CA 91362 Phone: 805-497-7373
Lori Ashley Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2125 E. Thousand Oaks Blvd, Thousand Oaks, CA 91362 Phone: 805-497-7373
Dr. Rachel M Gannam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 155 E Wilbur Rd Ste 101, Thousand Oaks, CA 91360 Phone: 805-497-7840 Fax: 805-373-0577
Agape Optometry Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 N Rancho Rd Ste 1, Thousand Oaks, CA 91362 Phone: 805-495-3937 Fax: 805-373-9843
Dr. Lisa Fontaine, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 145 W. Hillcrest Dr., Thousand Oaks, CA 91360 Phone: 805-496-9059
Dr. Jason C Griffith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 140 W Hillcrest Dr, Suite 112, Thousand Oaks, CA 91360 Phone: 805-497-6964

Dr Pegah Raven, OD - Medicare Optometrist in Thousand Oaks, CA