Elise Marie Regina, OD in New York, NY - Medicare Optometrist Provider

Elise Marie Regina, OD is a medicare enrolled "Optometrist" provider in New York, New York. Her current practice location is 330 W 58th St Ste 600, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 204-0600.

Elise Marie Regina is licensed to practice in New York (license number TUV009570) 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 1588398978.

Contact Information

	Elise Marie Regina, OD
	330 W 58th St Ste 600, New York, NY 10019-1817
	(212) 204-0600
	(212) 600-5826

Map and Direction

Healthcare Provider's Profile

Full Name	Elise Marie Regina
Gender	Female
Speciality	Optometrist
Location	330 W 58th St Ste 600, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588398978
Provider Enumeration Date: 07/12/2022
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2163805920
Enrollment ID: I20220811003616

Medical Identifiers

Medical identifiers for Elise Marie Regina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588398978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV009570 (New York)	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. Elise Marie Regina allows following entities to bill medicare on her behalf.

Provider Name	Maayan Keshet Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396164216 PECOS PAC ID: 8628296290 Enrollment ID: O20140822000780

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. Elise Marie Regina 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
Elise Marie Regina, OD 330 W 58th St Ste 600, New York, NY 10019-1817 Ph: (212) 204-0600	Elise Marie Regina, OD 330 W 58th St Ste 600, New York, NY 10019-1817 Ph: (212) 204-0600

Reviews and Comments

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Elise Marie Regina, OD - Medicare Optometrist in New York, NY