Jacqueline Angelina Rola, OD in Chicago, IL - Medicare Optometrist Provider

Jacqueline Angelina Rola, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. Her current practice location is 243 W North Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 337-1126.

Jacqueline Angelina Rola is licensed to practice in Illinois (license number 046011785) 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 1033994322.

Contact Information

	Jacqueline Angelina Rola, OD
	243 W North Ave, Chicago, IL 60610-1236
	(312) 337-1126
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Angelina Rola
Gender	Female
Speciality	Optometrist
Location	243 W North Ave, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033994322
Provider Enumeration Date: 08/28/2023
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2264887512
Enrollment ID: I20231006001770

Medical Identifiers

Medical identifiers for Jacqueline Angelina Rola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033994322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046011785 (Illinois)	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. Jacqueline Angelina Rola allows following entities to bill medicare on her behalf.

Provider Name	Rosin Optical Co Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262

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. Jacqueline Angelina Rola 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
Jacqueline Angelina Rola, OD 243 W North Ave, Chicago, IL 60610-1236 Ph: () -	Jacqueline Angelina Rola, OD 243 W North Ave, Chicago, IL 60610-1236 Ph: (312) 337-1126

Reviews and Comments

Optometrist in Chicago, IL

Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774

Jacqueline Angelina Rola, OD - Medicare Optometrist in Chicago, IL