Julie Ann Wagstaff, OD in San Jose, CA - Medicare Optometrist Provider

Julie Ann Wagstaff, OD is a medicare enrolled "Optometrist" provider in San Jose, California. Her current practice location is 2200 Eastridge Loop, Eastridge Mall Ste 1078, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 270-6161.

Julie Ann Wagstaff is licensed to practice in California (license number 11444) 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 1124179908.

Contact Information

	Julie Ann Wagstaff, OD
	2200 Eastridge Loop, Eastridge Mall Ste 1078, San Jose, CA 95122-1410
	(408) 270-6161
	(408) 270-6176

Map and Direction

Healthcare Provider's Profile

Full Name	Julie Ann Wagstaff
Gender	Female
Speciality	Optometrist
Location	2200 Eastridge Loop, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124179908
Provider Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9931092525
Enrollment ID: I20040206000268

Medical Identifiers

Medical identifiers for Julie Ann Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124179908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	11444 (California)	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. Julie Ann Wagstaff allows following entities to bill medicare on her behalf.

Provider Name	Sonoma Eyeworks An Optometric Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891330171 PECOS PAC ID: 4082043963 Enrollment ID: O20200327000599

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. Julie Ann Wagstaff 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
Julie Ann Wagstaff, OD 961 Spencer Ave, San Jose, CA 95125-1672 Ph: (408) 947-1193	Julie Ann Wagstaff, OD 2200 Eastridge Loop, Eastridge Mall Ste 1078, San Jose, CA 95122-1410 Ph: (408) 270-6161

Reviews and Comments

Optometrist in San Jose, CA

Cyndi C Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1558 S Bascom Ave, San Jose, CA 95125 Phone: 408-371-5180
Christopher Ngo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1080 S White Rd, A, San Jose, CA 95127 Phone: 408-272-3002
Kari Tran, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2380 Montpelier Dr, Ste 300, San Jose, CA 95116 Phone: 408-272-3706 Fax: 408-254-4094
Shinmori Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 214 Jackson St, San Jose, CA 95112 Phone: 408-293-3730 Fax: 408-293-2131
Dr. Duc Minh Bui, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4095 Evergreen Village Sq Ste 110, San Jose, CA 95135 Phone: 408-532-1308
Ms. Cecilia K Imamura, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 55 E Julian St, San Jose, CA 95112 Phone: 408-918-2618 Fax: 408-795-1129
Shirley Quicho, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 590 Blossom Hill Rd, San Jose, CA 95123 Phone: 408-227-2020 Fax: 206-338-0411

Julie Ann Wagstaff, OD - Medicare Optometrist in San Jose, CA