Jaclyn Lopez, OD in Washington, MO - Medicare Optometrist Provider

Jaclyn Lopez, OD is a medicare enrolled "Optometrist" provider in Washington, Missouri. Her current practice location is 851 E 5th St Ste 112, Washington, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 239-8345.

Jaclyn Lopez is licensed to practice in Missouri (license number 2023033367) 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 1871224212.

Contact Information

	Jaclyn Lopez, OD
	851 E 5th St Ste 112, Washington, MO 63090-3128
	(636) 239-8345
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Lopez
Gender	Female
Speciality	Optometrist
Location	851 E 5th St Ste 112, Washington, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871224212
Provider Enumeration Date: 06/17/2022
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5092166579
Enrollment ID: I20240109002749

Medical Identifiers

Medical identifiers for Jaclyn Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871224212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2023033367 (Missouri)	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. Jaclyn Lopez allows following entities to bill medicare on her behalf.

Provider Name	Mercy Health Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164567897 PECOS PAC ID: 2264329168 Enrollment ID: O20070723000817

Provider Name	Mercy Clinic Ophthalmology Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003179656 PECOS PAC ID: 1951544428 Enrollment ID: O20130830000818

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. Jaclyn Lopez 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
Jaclyn Lopez, OD 851 E 5th St Ste 112, Washington, MO 63090-3128 Ph: (636) 239-8345	Jaclyn Lopez, OD 851 E 5th St Ste 112, Washington, MO 63090-3128 Ph: (636) 239-8345

Reviews and Comments

Optometrist in Washington, MO

Christopher Eisenbeis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St Ste 112, Washington, MO 63090 Phone: 636-239-8345
Dr. Peter M. Gubany, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1090 Washington Square Shopping Ctr, Washington, MO 63090 Phone: 636-239-2020 Fax: 636-239-5766
Mercy Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 851 E 5th St, Suite 112, Washington, MO 63090 Phone: 636-239-8345 Fax: 636-390-7295
Obermark Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 222 W Main St, Washington, MO 63090 Phone: 636-239-7144 Fax: 636-239-6266
Dr. Amanda Jessie Bissell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Phoenix Center Dr, Washington, MO 63090 Phone: 636-777-2345 Fax: 636-777-2115
Valley Eye Clinic & Optical P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E 3rd St, Washington, MO 63090 Phone: 636-390-3999 Fax: 636-390-3959
Theodore K. Sullivan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Phoenix Center Dr, Washington, MO 63090 Phone: 636-777-2345 Fax: 636-777-2115

Jaclyn Lopez, OD - Medicare Optometrist in Washington, MO