Garrett Pennell, OD in La Jolla, CA - Medicare Optometrist Provider

Garrett Pennell, OD is a medicare enrolled "Optometrist" provider in La Jolla, California. His current practice location is 4130 La Jolla Village Dr Ste 300, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (858) 455-6800.

Garrett Pennell is licensed to practice in California (license number 34482) 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 1710415823.

Contact Information

	Garrett Pennell, OD
	4130 La Jolla Village Dr Ste 300, La Jolla, CA 92037-1481
	(858) 455-6800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Garrett Pennell
Gender	Male
Speciality	Optometrist
Location	4130 La Jolla Village Dr Ste 300, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710415823
Provider Enumeration Date: 06/02/2017
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2466712724
Enrollment ID: I20180205002831

Medical Identifiers

Medical identifiers for Garrett Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710415823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34482 (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. Garrett Pennell allows following entities to bill medicare on his behalf.

Provider Name	Ocean Eye Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700073749 PECOS PAC ID: 1456446566 Enrollment ID: O20071004000578

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. Garrett Pennell 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
Garrett Pennell, OD 4130 La Jolla Village Dr Ste 300, La Jolla, CA 92037-1481 Ph: (858) 455-6800	Garrett Pennell, OD 4130 La Jolla Village Dr Ste 300, La Jolla, CA 92037-1481 Ph: (858) 455-6800

Reviews and Comments

Optometrist in La Jolla, CA

Acuity Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9834 Genesee Ave Ste 428, La Jolla, CA 92037 Phone: 858-457-3010 Fax: 858-457-0028
Justine Simon Bailey Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8950 Villa La Jolla Dr Ste B128, La Jolla, CA 92037 Phone: 858-453-0442
Dr. Olivia Kimberly Do, OD, FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 702 Pearl St, Suite G, La Jolla, CA 92037 Phone: 908-938-8177
Dr. Colin Rodney Bernstein, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9834 Genesee Ave, Suite 428, La Jolla, CA 92037 Phone: 858-457-1200 Fax: 858-597-2027
Dr. Lara Dawn Hustana, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9415 Campus Point Dr, La Jolla, CA 92037 Phone: 858-534-6291 Fax: 858-822-4438
Acuity Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 310, La Jolla, CA 92037 Phone: 800-898-2020 Fax: 844-897-3788
Dr. Pamela A Hoo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9415 Campus Point Dr, La Jolla, CA 92037 Phone: 858-534-6290

Garrett Pennell, OD - Medicare Optometrist in La Jolla, CA