Jacquelyn Sugianto, OD in Denton, TX - Medicare Optometrist Provider

Jacquelyn Sugianto, OD is a medicare enrolled "Optometrist" provider in Denton, Texas. Her current practice location is 2524 Lillian Miller Pkwy Ste 100, Denton, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 891-0484.

Jacquelyn Sugianto is licensed to practice in Texas (license number 8262-T) 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 1326480815.

Contact Information

	Jacquelyn Sugianto, OD
	2524 Lillian Miller Pkwy Ste 100, Denton, TX 76210-7206
	(940) 891-0484
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Sugianto
Gender	Female
Speciality	Optometrist
Location	2524 Lillian Miller Pkwy Ste 100, Denton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326480815
Provider Enumeration Date: 07/24/2013
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8921242629
Enrollment ID: I20130919000368

Medical Identifiers

Medical identifiers for Jacquelyn Sugianto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326480815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8262-T (Texas)	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. Jacquelyn Sugianto allows following entities to bill medicare on her behalf.

Provider Name	Catherine Spoo Castleberry Od Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205014974 PECOS PAC ID: 5294770590 Enrollment ID: O20050627001398

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. Jacquelyn Sugianto 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
Jacquelyn Sugianto, OD 9437 Blue Jay Way, Irving, TX 75063-6404 Ph: (832) 443-7083	Jacquelyn Sugianto, OD 2524 Lillian Miller Pkwy Ste 100, Denton, TX 76210-7206 Ph: (940) 891-0484

Reviews and Comments

Optometrist in Denton, TX

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Jacquelyn Sugianto, OD - Medicare Optometrist in Denton, TX