Emmy Thai, OD in Fontana, CA - Medicare Optometrist Provider

Emmy Thai, OD is a medicare enrolled "Optometrist" provider in Fontana, California. Her current practice location is 15268 Summit Ave Ste 300, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 279-2472.

Emmy Thai is licensed to practice in California (license number 34754TLG) 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 1558953661.

Contact Information

	Emmy Thai, OD
	15268 Summit Ave Ste 300, Fontana, CA 92336-0234
	(909) 279-2472
	(909) 279-2479

Map and Direction

Healthcare Provider's Profile

Full Name	Emmy Thai
Gender	Female
Speciality	Optometrist
Location	15268 Summit Ave Ste 300, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558953661
Provider Enumeration Date: 02/09/2021
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1951798362
Enrollment ID: I20220503000746

Medical Identifiers

Medical identifiers for Emmy Thai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558953661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34754TLG (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. Emmy Thai allows following entities to bill medicare on her behalf.

Provider Name	Tedder Optometric Clinic Management, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851091805 PECOS PAC ID: 7012371263 Enrollment ID: O20230907000242

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. Emmy Thai 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
Emmy Thai, OD 4855 Condor Ave, Fontana, CA 92336-4715 Ph: (714) 360-2858	Emmy Thai, OD 15268 Summit Ave Ste 300, Fontana, CA 92336-0234 Ph: (909) 279-2472

Reviews and Comments

Optometrist in Fontana, CA

Junyao Xu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8381 Juniper Ave Unit 100, Fontana, CA 92335 Phone: 909-428-2020
Tammy M Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Gary J Jacobson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Mai Nguyen, O.d., Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15070 Summit Ave Ste 400, Fontana, CA 92336 Phone: 909-538-9246
Arlene Sarroca Arcega, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Matthew M. Enos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8190 Mango Ave, Fontana, CA 92335 Phone: 909-350-2020
Theprangsy Nantha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Emmy Thai, OD - Medicare Optometrist in Fontana, CA