Dr Shane Lucas Tibiletti, OD - Medicare Optometrist in Hurst, TX

Dr Shane Lucas Tibiletti, OD is a medicare enrolled "Optometrist" provider in Hurst, Texas. He went to University Of Houston - College Of Optometry and graduated in 2019 and has 5 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Robertson Ocular Watters Creek Llc and his current practice location is 1101 Melbourne Rd # 217, Hurst, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 284-0798.

Dr Shane Lucas Tibiletti is licensed to practice in Texas (license number 9738T) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639721392.

Contact Information

Dr Shane Lucas Tibiletti, OD
1101 Melbourne Rd # 217,
Hurst, TX 76053-6205
(817) 284-0798
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Shane Lucas Tibiletti
GenderMale
SpecialityOptometry
Experience5 Years
Location1101 Melbourne Rd # 217, Hurst, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shane Lucas Tibiletti attended and graduated from University Of Houston - College Of Optometry in 2019
  NPI Data:
  • NPI Number: 1639721392
  • Provider Enumeration Date: 07/12/2019
  • Last Update Date: 07/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638408305
  • Enrollment ID: I20190905000476

Medical Identifiers

Medical identifiers for Dr Shane Lucas Tibiletti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639721392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 9738T (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Robertson Ocular Watters Creek Llc57999798942

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 Shane Lucas Tibiletti allows following entities to bill medicare on his behalf.
Provider NameRobertson Ocular Watters Creek Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093028219
PECOS PAC ID: 5799979894
Enrollment ID: O20101103000148

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 Shane Lucas Tibiletti 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 Shane Lucas Tibiletti, OD
1101 Melbourne Rd # 217,
Hurst, TX 76053-6205

Ph: (817) 284-0798
Dr Shane Lucas Tibiletti, OD
1101 Melbourne Rd # 217,
Hurst, TX 76053-6205

Ph: (817) 284-0798

Reviews and Comments


Optometrist in Hurst, TX

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Mr. Elvin W Fenton, OD
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Practice Location: 751 Mid Cities Blvd, Hurst, TX 76054
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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.