Johnny Phan, OD in Mansfield, TX - Medicare Optometrist Provider

Johnny Phan, OD is a medicare enrolled "Optometrist" provider in Mansfield, Texas. His current practice location is 990 U.s. 287 Frontage Rd, #109, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 453-4682.

Johnny Phan is licensed to practice in Texas (license number 8720) 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 1700268448.

Contact Information

	Johnny Phan, OD
	990 U.s. 287 Frontage Rd, #109, Mansfield, TX 76063
	(817) 453-4682
	(817) 453-4353

Map and Direction

Healthcare Provider's Profile

Full Name	Johnny Phan
Gender	Male
Speciality	Optometrist
Location	990 U.s. 287 Frontage Rd, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700268448
Provider Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015

Medicare PECOS Information:

PECOS PAC ID: 0749595858
Enrollment ID: I20150819007304

Medical Identifiers

Medical identifiers for Johnny Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700268448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8720 (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. Johnny Phan allows following entities to bill medicare on his behalf.

Provider Name	Mansfield Vision Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407020985 PECOS PAC ID: 7113187691 Enrollment ID: O20120320000642

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. Johnny Phan 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
Johnny Phan, OD 7552 Juliet Ln, Fort Worth, TX 76137-1096 Ph: (817) 899-5989	Johnny Phan, OD 990 U.s. 287 Frontage Rd, #109, Mansfield, TX 76063 Ph: (817) 453-4682

Reviews and Comments

Optometrist in Mansfield, TX

Dr. Vicki Thuy Vy Nguyen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1650 Highway 287 N, Mansfield, TX 76063 Phone: 682-518-1177 Fax: 682-518-8889
Clear View Eye Associates, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2200 E Broad St Ste 120, Mansfield, TX 76063 Phone: 817-953-2020
Dr. Robert Allen Smith, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 126 N Main St, Mansfield, TX 76063 Phone: 817-473-9301 Fax: 817-473-9302
Accurate Visioncare Of Arlington P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3167 Kingswood Ct, Mansfield, TX 76063 Phone: 817-905-0444 Fax: 817-275-0504
Dr. Benjamin Dean Colston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3150 East Broad Street, Suite 120, Mansfield, TX 76063 Phone: 817-477-6363
Dr. Marianne Anderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 951 N Walnut Creek Dr, Suite A, Mansfield, TX 76063 Phone: 817-473-2850 Fax: 817-473-9771
Trinh Nguyen, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 930 N Walnut Creek Dr, Mansfield, TX 76063 Phone: 817-473-1956

Johnny Phan, OD - Medicare Optometrist in Mansfield, TX