Katie Doan Tienabeso, OD in Oklahoma City, OK - Medicare Optometrist Provider

Katie Doan Tienabeso, OD is a medicare enrolled "Optometrist" provider in Oklahoma City, Oklahoma. Her current practice location is 2800 Nw 36th St, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 943-2020.

Katie Doan Tienabeso is licensed to practice in Oklahoma (license number 3259) 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 1841038676.

Contact Information

	Katie Doan Tienabeso, OD
	2800 Nw 36th St, Oklahoma City, OK 73112-7477
	(405) 943-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Doan Tienabeso
Gender	Female
Speciality	Optometrist
Location	2800 Nw 36th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841038676
Provider Enumeration Date: 07/16/2024
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0446790406
Enrollment ID: I20240905002992

Medical Identifiers

Medical identifiers for Katie Doan Tienabeso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841038676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	3259 (Oklahoma)	Secondary
152WV0400X	Optometrist - Vision Therapy	3259 (Oklahoma)	Secondary
152W00000X	Optometrist	3259 (Oklahoma)	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. Katie Doan Tienabeso allows following entities to bill medicare on her behalf.

Provider Name	Mayes & Mayes Optometry, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285865337 PECOS PAC ID: 3173654183 Enrollment ID: O20100707000517

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. Katie Doan Tienabeso 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
Katie Doan Tienabeso, OD 1 Ne 2nd St Apt 404, Oklahoma City, OK 73104-2236 Ph: (405) 625-7999	Katie Doan Tienabeso, OD 2800 Nw 36th St, Oklahoma City, OK 73112-7477 Ph: (405) 943-2020

Reviews and Comments

Optometrist in Oklahoma City, OK

Jeffrey M. Butcher, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2501 W Memorial Rd, Ste 222, Oklahoma City, OK 73134 Phone: 405-775-9300
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Butcher Optical Iii, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8549 N Rockwell Ave, Oklahoma City, OK 73132 Phone: 405-720-8316 Fax: 405-720-3594
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017

Katie Doan Tienabeso, OD - Medicare Optometrist in Oklahoma City, OK