Dr Tariq Tahir Khraishi, OD in Wilmington, CA - Medicare Optometrist Provider

Dr Tariq Tahir Khraishi, OD is a medicare enrolled "Optometrist" provider in Wilmington, California. His current practice location is 317 W Pacific Coast Hwy Ste B, Wilmington, California. You can reach out to his office (for appointments etc.) via phone at (424) 264-5821.

Dr Tariq Tahir Khraishi is licensed to practice in California (license number 12311T) 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 1205878634.

Contact Information

	Dr Tariq Tahir Khraishi, OD
	317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542
	(424) 264-5821
	(424) 264-5886

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tariq Tahir Khraishi
Gender	Male
Speciality	Optometrist
Location	317 W Pacific Coast Hwy Ste B, Wilmington, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205878634
Provider Enumeration Date: 06/11/2006
Last Update Date: 04/10/2020

Medicare PECOS Information:

PECOS PAC ID: 4587728233
Enrollment ID: I20090126000344

Medical Identifiers

Medical identifiers for Dr Tariq Tahir Khraishi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205878634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	12311T (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 Tariq Tahir Khraishi allows following entities to bill medicare on his behalf.

Provider Name	Dr Terrry Khraishi Od Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043879000 PECOS PAC ID: 8426479510 Enrollment ID: O20200527002496

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 Tariq Tahir Khraishi 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 Tariq Tahir Khraishi, OD 1907 Dufour Ave Unit B, Redondo Beach, CA 90278-1307 Ph: (310) 864-9323	Dr Tariq Tahir Khraishi, OD 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744-2542 Ph: (424) 264-5821

Reviews and Comments

Optometrist in Wilmington, CA

Dr. Terrry Khraishi Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 317 W Pacific Coast Hwy Ste B, Wilmington, CA 90744 Phone: 424-264-5821 Fax: 424-264-5821
Richard M Peters Od An Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665
Dr. Richard M Peters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5464 Fax: 310-835-6665

Dr Tariq Tahir Khraishi, OD - Medicare Optometrist in Wilmington, CA