Emily Tetzlaff, - Medicare Optometrist in Lake Havasu City, AZ

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Emily Tetzlaff, is a medicare enrolled "Optometrist" provider in Lake Havasu City, Arizona. Her current practice location is 40 Capri Blvd, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 855-9477.

Emily Tetzlaff is licensed to practice in Arizona (license number OPT-002804) 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 1558106591.

Contact Information

Emily Tetzlaff,
40 Capri Blvd,
Lake Havasu City, AZ 86403-5661
(928) 855-9477
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEmily Tetzlaff
GenderFemale
SpecialityOptometrist
Location40 Capri Blvd, Lake Havasu City, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558106591
  • Provider Enumeration Date: 07/01/2024
  • Last Update Date: 07/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224573902
  • Enrollment ID: I20240717004110

Medical Identifiers

Medical identifiers for Emily Tetzlaff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558106591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT-002804 (Arizona)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. Emily Tetzlaff allows following entities to bill medicare on her behalf.
Provider NameSouthwestern Eye Center Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20031203000181
Provider NameBarnet Dulaney Perkins Eye Center, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349

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. Emily Tetzlaff 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 AddressPractice Location Address
Emily Tetzlaff,
40 Capri Blvd,
Lake Havasu City, AZ 86403-5661

Ph: () -		Emily Tetzlaff,
40 Capri Blvd,
Lake Havasu City, AZ 86403-5661

Ph: (928) 855-9477

Reviews and Comments


Optometrist in Lake Havasu City, AZ

Ariel Esquibel, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 383 Lake Havasu Ave S, Lake Havasu City, AZ 86403
Phone: 928-680-1144    

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403
Phone: 928-855-9477    Fax: 928-855-1799

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 85 Lake Havasu Ave N, Suite 108, Lake Havasu City, AZ 86403
Phone: 928-420-8810    Fax: 928-453-8629

Optometrist
Medicare: Medicare Enrolled
Practice Location: 383 S.lake Havasu Ave, Lake Havasu City, AZ 86403
Phone: 928-680-1144    Fax: 928-680-8639
Lake Havasu Family Eyecare, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403
Phone: 928-855-5026    Fax: 928-854-4512
Dr. Crystal Rose Eppling, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2277 Swanson Ave Ste 100, Lake Havasu City, AZ 86403
Phone: 928-706-9991    
Bryant M Senica, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 40 Capri Blvd, Suite 102, Lake Havasu City, AZ 86403
Phone: 928-855-9477    Fax: 928-855-1799

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.