Jacqueline Rose Smith, in Waltham, MA - Medicare Optometrist Provider

Jacqueline Rose Smith, is a medicare enrolled "Optometrist" provider in Waltham, Massachusetts. Her current practice location is 289 Moody St, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 894-2127.

Jacqueline Rose Smith is licensed to practice in Massachusetts (license number 5620) 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 1508558024.

Contact Information

	Jacqueline Rose Smith,
	289 Moody St, Waltham, MA 02453-5284
	(781) 894-2127
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Rose Smith
Gender	Female
Speciality	Optometrist
Location	289 Moody St, Waltham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508558024
Provider Enumeration Date: 05/23/2023
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3779945670
Enrollment ID: I20230809001724

Medical Identifiers

Medical identifiers for Jacqueline Rose Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508558024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5620 (Massachusetts)	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 Rose Smith allows following entities to bill medicare on her behalf.

Provider Name	Ejc Eyecare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235368275 PECOS PAC ID: 6901952134 Enrollment ID: O20090914000266

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 Rose Smith 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 Rose Smith, 22 Sunnyhill Rd, Lunenburg, MA 01462-1331 Ph: (978) 870-2770	Jacqueline Rose Smith, 289 Moody St, Waltham, MA 02453-5284 Ph: (781) 894-2127

Reviews and Comments

Optometrist in Waltham, MA

Dr. Arthur Bababekov, OD Optometrist Medicare: Medicare Enrolled Practice Location: 66 Seyon Street, Waltham, MA 02453 Phone: 781-891-0136 Fax: 508-484-2008
Grigor Martirosyan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 45 Albert St, Waltham, MA 02453 Phone: 617-386-9471
Dr. Michael K Edelstein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 446 Moody St, Waltham, MA 02453 Phone: 781-899-3200 Fax: 781-894-4645
Lynette K. Johns, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1601 Trapelo Rd Ste 184, Waltham, MA 02451 Phone: 781-890-1023
Jake Duclos Fiore, OD Optometrist Medicare: Medicare Enrolled Practice Location: 289 Moody St, Waltham, MA 02453 Phone: 781-894-2127
Lee David Lerner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 381 Moody St, Waltham, MA 02453 Phone: 781-894-1094 Fax: 781-894-0210
Qiaomei Cheng, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 57 Matthew Ln, Waltham, MA 02452 Phone: 617-721-1938 Fax: 617-964-3201

Jacqueline Rose Smith, - Medicare Optometrist in Waltham, MA