Larry E Waggoner O D Prof Corp - Medicare Optometrist in Lake Isabella, CA

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Larry E Waggoner O D Prof Corp is a medicare enrolled "Optometrist" provider in Lake Isabella, California. Their current practice location is 12134 Mount Mesa Rd, Lake Isabella, California. You can reach out to their office (for appointments etc.) via phone at (760) 379-3602.

Larry E Waggoner O D Prof Corp is licensed to practice in California (license number 6133) and it also participates in the medicare program. Larry E Waggoner O D Prof Corp is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1336449388.

Contact Information

Larry E Waggoner O D Prof Corp
12134 Mount Mesa Rd,
Lake Isabella, CA 93240-9690
(760) 379-3602
(760) 379-2232

Map and Direction




Healthcare Provider's Profile

Full NameLarry E Waggoner O D Prof Corp
TypeFacility
SpecialityOptometrist
Location12134 Mount Mesa Rd, Lake Isabella, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336449388
  • Provider Enumeration Date: 10/25/2010
  • Last Update Date: 11/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9133316060
  • Enrollment ID: O20110110000494

Medical Identifiers

Medical identifiers for Larry E Waggoner O D Prof Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336449388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 6133 (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. Larry E Waggoner O D Prof Corp acts as a billing entity for following providers:
Provider NameLarry E Waggoner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710065727
PECOS PAC ID: 0042407975
Enrollment ID: I20110110000579

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. Larry E Waggoner O D Prof Corp 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 AddressPractice Location Address
Larry E Waggoner O D Prof Corp
12134 Mount Mesa Rd,
Lake Isabella, CA 93240-9690

Ph: (760) 379-3602		Larry E Waggoner O D Prof Corp
12134 Mount Mesa Rd,
Lake Isabella, CA 93240-9690

Ph: (760) 379-3602

Reviews and Comments


Optometrist in Lake Isabella, CA

Mr. Larry L Waggoner, DOCTOR OF OPTOMETRY
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 12134 Mt Mesa Rd, Lake Isabella, CA 93240
Phone: 760-379-3602    Fax: 760-379-2232

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.