Dr Shannon L W Clark Leitenbauer, OD in Fort Pierce, FL

Dr Shannon L W Clark Leitenbauer, OD is a medicare enrolled "Optometrist" provider in Fort Pierce, Florida. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Myeyedr Optometry Of Florida, Llc and her current practice location is 2305 Oleander Blvd, Fort Pierce, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 465-6616.

Dr Shannon L W Clark Leitenbauer is licensed to practice in Florida (license number OPC0003067) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760401632.

Contact Information

	Dr Shannon L W Clark Leitenbauer, OD
	2305 Oleander Blvd, Fort Pierce, FL 34982-5830
	(772) 465-6616
	(772) 468-2858

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon L W Clark Leitenbauer
Gender	Female
Speciality	Optometry
Experience	28 Years
Location	2305 Oleander Blvd, Fort Pierce, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon L W Clark Leitenbauer graduated from medical school in 1996

NPI Data:

NPI Number: 1760401632
Provider Enumeration Date: 07/19/2006
Last Update Date: 07/29/2008

Medicare PECOS Information:

PECOS PAC ID: 7517057854
Enrollment ID: I20080920000065

Medical Identifiers

Medical identifiers for Dr Shannon L W Clark Leitenbauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760401632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC0003067 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Myeyedr Optometry Of Florida, Llc	0143541037	90

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 Shannon L W Clark Leitenbauer allows following entities to bill medicare on her behalf.

Provider Name	Shannon L Clark Od, P.a
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770767733 PECOS PAC ID: 6901976943 Enrollment ID: O20080603000715

Provider Name	Myeyedr Optometry Of Florida, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073907028 PECOS PAC ID: 0143541037 Enrollment ID: O20150603002802

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 Shannon L W Clark Leitenbauer 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 Shannon L W Clark Leitenbauer, OD 2305 Oleander Blvd, Fort Pierce, FL 34982-5830 Ph: (772) 465-6616	Dr Shannon L W Clark Leitenbauer, OD 2305 Oleander Blvd, Fort Pierce, FL 34982-5830 Ph: (772) 465-6616

Reviews and Comments

Optometrist in Fort Pierce, FL

Dr. Fonda Marie Moll, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070
William A. Olivos, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 Fax: 772-460-0225
Dr. William A Olivos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 Fax: 772-460-0225
Paul B. Moll, O.d. Llc Optometrist Medicare: Medicare Enrolled Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070
I Stuart Mciver Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 S 13th St, Fort Pierce, FL 34950 Phone: 954-232-9585 Fax: 954-433-5770
Dr. Mitchell S Biderman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2305 Oleander Blvd, Fort Pierce, FL 34982 Phone: 772-465-6616
Dr. Paul Bradley Moll, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070

Dr Shannon L W Clark Leitenbauer, OD - Medicare Optometrist in Fort Pierce, FL