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.
Healthcare Provider's Profile
Full Name | Katie Doan Tienabeso |
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Gender | Female |
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Speciality | Optometrist |
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Location | 2800 Nw 36th St, Oklahoma City, Oklahoma |
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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 |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1285865337 PECOS PAC ID: 3173654183 Enrollment ID: O20100707000517 |
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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 |
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