Dr Roxanne Jackelyn Gurrola, OD in Burbank, CA - Medicare Optometrist Provider

Dr Roxanne Jackelyn Gurrola, OD is a medicare enrolled "Optometrist" provider in Burbank, California. Her current practice location is 1051 W Burbank Blvd, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (818) 841-7055.

Dr Roxanne Jackelyn Gurrola is licensed to practice in California (license number 35540) 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 1144906488.

Contact Information

	Dr Roxanne Jackelyn Gurrola, OD
	1051 W Burbank Blvd, Burbank, CA 91506-1421
	(818) 841-7055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Roxanne Jackelyn Gurrola
Gender	Female
Speciality	Optometrist
Location	1051 W Burbank Blvd, Burbank, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144906488
Provider Enumeration Date: 06/22/2023
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4183063530
Enrollment ID: I20240417003061

Medical Identifiers

Medical identifiers for Dr Roxanne Jackelyn Gurrola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144906488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	35540 (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 Roxanne Jackelyn Gurrola allows following entities to bill medicare on her behalf.

Provider Name	Michael Khoury O D Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568805349 PECOS PAC ID: 5294035143 Enrollment ID: O20151124002730

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 Roxanne Jackelyn Gurrola 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 Roxanne Jackelyn Gurrola, OD 3650 Barham Blvd Apt T317, Los Angeles, CA 90068-1499 Ph: (818) 751-3490	Dr Roxanne Jackelyn Gurrola, OD 1051 W Burbank Blvd, Burbank, CA 91506-1421 Ph: (818) 841-7055

Reviews and Comments

Optometrist in Burbank, CA

Jarnette Hyun Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave, 208, Burbank, CA 91505 Phone: 818-845-3557 Fax: 818-845-2600
Mrs. Soseh Markarian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 632 E Orange Grove Ave Apt J, Burbank, CA 91501 Phone: 818-687-6160
Binh Nguyen Optometry Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1800 W Empire Ave, Burbank, CA 91504 Phone: 818-252-9939
Burbank Family Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 907 N San Fernando Blvd, Burbank, CA 91504 Phone: 818-846-9075 Fax: 818-846-9010
Dr. Van Le Sim, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 E Cypress Ave, Lenscrafters At Macy's, Burbank, CA 91502 Phone: 818-557-0016 Fax: 818-557-1697
Sara Hakopian Od, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 E Angeleno Ave Ste 101, Burbank, CA 91501 Phone: 818-556-3600
Dr. John Peter Alena, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E Magnolia Blvd, Sears Building, Burbank, CA 91502 Phone: 818-559-6661 Fax: 818-559-7645

Dr Roxanne Jackelyn Gurrola, OD - Medicare Optometrist in Burbank, CA