Jake Duclos Fiore, OD in Waltham, MA - Medicare Optometrist Provider

Jake Duclos Fiore, OD is a medicare enrolled "Optometrist" provider in Waltham, Massachusetts. His current practice location is 289 Moody St, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 894-2127.

Jake Duclos Fiore is licensed to practice in Massachusetts (license number 5569) 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 1104556232.

Contact Information

	Jake Duclos Fiore, OD
	289 Moody St, Waltham, MA 02453-5284
	(781) 894-2127
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jake Duclos Fiore
Gender	Male
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: 1104556232
Provider Enumeration Date: 06/13/2022
Last Update Date: 11/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6608251954
Enrollment ID: I20220922001521

Medical Identifiers

Medical identifiers for Jake Duclos Fiore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104556232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5569 (Massachusetts)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jake Duclos Fiore allows following entities to bill medicare on his 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. Jake Duclos Fiore 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
Jake Duclos Fiore, OD 289 Moody St, Waltham, MA 02453-5284 Ph: (781) 894-2127	Jake Duclos Fiore, OD 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
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

Jake Duclos Fiore, OD - Medicare Optometrist in Waltham, MA