Dr Robert Benjamin Widerspan, OD - Medicare Optometrist in Santa Cruz, CA

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Dr Robert Benjamin Widerspan, OD is a medicare enrolled "Optometrist" provider in Santa Cruz, California. His current practice location is 4015 Capitola Rd, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 475-8639.

Dr Robert Benjamin Widerspan is licensed to practice in California (license number 8047T) 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 1295944452.

Contact Information

Dr Robert Benjamin Widerspan, OD
4015 Capitola Rd,
Santa Cruz, CA 95062
(831) 475-8639
(831) 464-1075

Map and Direction




Healthcare Provider's Profile

Full NameDr Robert Benjamin Widerspan
GenderMale
SpecialityOptometrist
Location4015 Capitola Rd, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295944452
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 04/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244544120
  • Enrollment ID: I20150805009302

Medical Identifiers

Medical identifiers for Dr Robert Benjamin Widerspan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295944452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 8047T (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 Robert Benjamin Widerspan allows following entities to bill medicare on his behalf.
Provider NameMark P Maher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811049810
PECOS PAC ID: 6507916756
Enrollment ID: I20090609000333

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 Robert Benjamin Widerspan 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 AddressPractice Location Address
Dr Robert Benjamin Widerspan, OD
4015 Capitola Rd,
Santa Cruz, CA 95062

Ph: (831) 475-8639		Dr Robert Benjamin Widerspan, OD
4015 Capitola Rd,
Santa Cruz, CA 95062

Ph: (831) 475-8639

Reviews and Comments


Optometrist in Santa Cruz, CA

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Phone: 831-466-3937    Fax: 831-466-3421
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Phone: 831-476-6943    Fax: 831-476-1473
Dr. Michaela Melissa Chavez, O.D.
Optometrist
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Dr. Francis Kuo, O.D.
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Phone: 831-460-9717    
Niyo Ramaniklal Kachalia, O.D.
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Practice Location: 904 Cedar Street, Santa Cruz, CA 95060
Phone: 831-426-1050    Fax: 831-423-1050
Anna Lisa Regan-gardner, O.D.
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Medicare: Medicare Enrolled
Practice Location: 904 Cedar St, Santa Cruz, CA 95060
Phone: 831-426-1050    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.