Dr Shirley G Angel, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Teterboro, New Jersey. Her current practice location is
1 Teterboro Landing Dr, Inside Walmart Vision Center, Teterboro, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 375-4005.
Dr Shirley G Angel is licensed to practice in New Jersey (license number 27OA00595000) 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 1144411455.
Healthcare Provider's Profile
| Full Name | Dr Shirley G Angel |
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| Gender | Female |
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| Speciality | Optometrist - Corneal And Contact Management |
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| Location | 1 Teterboro Landing Dr, Teterboro, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144411455
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 11/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 9739464793
- Enrollment ID: I20170315000138
Medical Identifiers
Medical identifiers for Dr Shirley G Angel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144411455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 27OA00595000 (New Jersey) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 27OA00595000 (New Jersey) | 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 Shirley G Angel allows following entities to bill medicare on her behalf.
| Provider Name | Angel Eyecare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467903880
PECOS PAC ID: 8820373889
Enrollment ID: O20170315000090 |
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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 Shirley G Angel 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 Shirley G Angel, OD
1 Teterboro Landing Dr, Inside Walmart Vision Center,
Teterboro, NJ 07608
Ph: (201) 375-4005 | Dr Shirley G Angel, OD
1 Teterboro Landing Dr, Inside Walmart Vision Center,
Teterboro, NJ 07608
Ph: (201) 375-4005 |
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