Elizabeth Nace, OD in Los Angeles, CA - Medicare Optometrist Provider

Elizabeth Nace, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Los Angeles, California. Her current practice location is 2001 S Barrington Ave Ste 318, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 477-4009.

Elizabeth Nace is licensed to practice in New Jersey (license number 27OA00681200) 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 1720561855.

Contact Information

	Elizabeth Nace, OD
	2001 S Barrington Ave Ste 318, Los Angeles, CA 90025-5395
	(310) 477-4009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Nace
Gender	Female
Speciality	Optometrist - Pediatrics
Location	2001 S Barrington Ave Ste 318, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720561855
Provider Enumeration Date: 09/14/2018
Last Update Date: 01/02/2022

Medicare PECOS Information:

PECOS PAC ID: 5092116418
Enrollment ID: I20210623001259

Medical Identifiers

Medical identifiers for Elizabeth Nace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720561855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	34392TLG (California)	Secondary
152WS0006X	Optometrist - Sports Vision	27OA00681200 (New Jersey)	Secondary
152WS0006X	Optometrist - Sports Vision	34392TLG (California)	Secondary
152WV0400X	Optometrist - Vision Therapy	27OA00681200 (New Jersey)	Secondary
152WV0400X	Optometrist - Vision Therapy	34392TLG (California)	Secondary
152WP0200X	Optometrist - Pediatrics	27OA00681200 (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. Elizabeth Nace allows following entities to bill medicare on her behalf.

Provider Name	Gary L Etting Od An Optometric Corp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306950829 PECOS PAC ID: 8729010152 Enrollment ID: O20050907000601

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. Elizabeth Nace 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
Elizabeth Nace, OD 6345 Balboa Blvd, Bldg 3 Ste 250, Encino, CA 91316 Ph: (818) 344-3937	Elizabeth Nace, OD 2001 S Barrington Ave Ste 318, Los Angeles, CA 90025-5395 Ph: (310) 477-4009

Reviews and Comments

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Elizabeth Nace, OD - Medicare Optometrist in Los Angeles, CA