Dr Stephen Atallah, OD in Santa Rosa, CA - Medicare Optometrist Provider

Dr Stephen Atallah, OD is a medicare enrolled "Optometrist" provider in Santa Rosa, California. His current practice location is 380 Tesconi Ct, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 544-3375.

Dr Stephen Atallah is licensed to practice in California (license number OPT15394) 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 1891171062.

Contact Information

	Dr Stephen Atallah, OD
	380 Tesconi Ct, Santa Rosa, CA 95401-4653
	(707) 544-3375
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stephen Atallah
Gender	Male
Speciality	Optometrist
Location	380 Tesconi Ct, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891171062
Provider Enumeration Date: 08/10/2015
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4486186079
Enrollment ID: I20241021003717

Medical Identifiers

Medical identifiers for Dr Stephen Atallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891171062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT15394 (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 Stephen Atallah allows following entities to bill medicare on his behalf.

Provider Name	North Bay Eye Associates, A Medical Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952418378 PECOS PAC ID: 9436147980 Enrollment ID: O20050414000990

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 Stephen Atallah 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 Stephen Atallah, OD 380 Tesconi Ct, Santa Rosa, CA 95401-4653 Ph: () -	Dr Stephen Atallah, OD 380 Tesconi Ct, Santa Rosa, CA 95401-4653 Ph: (707) 544-3375

Reviews and Comments

Optometrist in Santa Rosa, CA

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Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2320 Midway Dr, Santa Rosa, CA 95405 Phone: 707-526-2020 Fax: 707-526-2032
Lucille Hester Brongersma, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3925 Old Redwood Hwy, Santa Rosa, CA 95403 Phone: 707-566-5297
Dr. Shipley & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1430 Guerneville Rd, Santa Rosa, CA 95403 Phone: 707-525-9920 Fax: 707-525-0844

Dr Stephen Atallah, OD - Medicare Optometrist in Santa Rosa, CA