Gary Itzenson, OD in Lafayette Hill, PA - Medicare Optometrist Provider

Gary Itzenson, OD is a medicare enrolled "Optometrist" provider in Lafayette Hill, Pennsylvania. His current practice location is 413 Germantown Pike, Ste 200, Lafayette Hill, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 825-8210.

Gary Itzenson is licensed to practice in Pennsylvania (license number OE006115T) 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 1508861311.

Contact Information

	Gary Itzenson, OD
	413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444-1816
	(610) 825-8210
	(610) 825-8208

Map and Direction

Healthcare Provider's Profile

Full Name	Gary Itzenson
Gender	Male
Speciality	Optometrist
Location	413 Germantown Pike, Lafayette Hill, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508861311
Provider Enumeration Date: 06/17/2005
Last Update Date: 12/04/2007

Medicare PECOS Information:

PECOS PAC ID: 2163476995
Enrollment ID: I20100728001026

Medical Identifiers

Medical identifiers for Gary Itzenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508861311	NPI	-	NPPES
0009138590001	Medicaid	PA
2205203	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	27OA00437400 (New Jersey)	Secondary
152W00000X	Optometrist	OE006115T (Pennsylvania)	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. Gary Itzenson allows following entities to bill medicare on his behalf.

Provider Name	Lafayette Eye Associates, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063627925 PECOS PAC ID: 8426038175 Enrollment ID: O20040722000983

Provider Name	On Site Health Services Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720083553 PECOS PAC ID: 6406806462 Enrollment ID: O20050304000260

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. Gary Itzenson 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
Gary Itzenson, OD 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444-1816 Ph: (610) 825-8210	Gary Itzenson, OD 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444-1816 Ph: (610) 825-8210

Reviews and Comments

Optometrist in Lafayette Hill, PA

Tammra Joy Banner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Germantown Pike, Suite 200, Lafayette Hill, PA 19444 Phone: 610-825-7980 Fax: 610-825-5398
Jessica Haney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444 Phone: 610-825-8210 Fax: 610-825-8208
Kurt Stoltz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444 Phone: 610-825-8210 Fax: 610-825-8208
Dr. Michael Frederick Lochetto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Germantown Pike, Lafayette Hill, PA 19444 Phone: 610-828-8511 Fax: 610-828-1585
Lafayette Eye Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 413 Germantown Pike, Lafayette Hill, PA 19444 Phone: 610-825-3937 Fax: 610-825-0381
Karen French, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Germantown Pike, Ste 200, Lafayette Hill, PA 19444 Phone: 610-825-8210 Fax: 610-825-8208

Gary Itzenson, OD - Medicare Optometrist in Lafayette Hill, PA