Melody Deborah Tavakoli, OD in San Diego, CA - Medicare Optometrist Provider

Melody Deborah Tavakoli, OD is a medicare enrolled "Optometrist" provider in San Diego, California. Her current practice location is 5680 Balboa Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 278-2837.

Melody Deborah Tavakoli is licensed to practice in California (license number 14039) 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 1154623254.

Contact Information

	Melody Deborah Tavakoli, OD
	5680 Balboa Ave, San Diego, CA 92111-2706
	(858) 278-2837
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melody Deborah Tavakoli
Gender	Female
Speciality	Optometrist
Location	5680 Balboa Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154623254
Provider Enumeration Date: 11/22/2010
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 2567648595
Enrollment ID: I20110509000641

Medical Identifiers

Medical identifiers for Melody Deborah Tavakoli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154623254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	14039 (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. Melody Deborah Tavakoli allows following entities to bill medicare on her behalf.

Provider Name	Melody Tavakoli Od Professional Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275912800 PECOS PAC ID: 6204140882 Enrollment ID: O20150728004132

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. Melody Deborah Tavakoli 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
Melody Deborah Tavakoli, OD Po Box 3358, San Diego, CA 92163-1358 Ph: (818) 516-8753	Melody Deborah Tavakoli, OD 5680 Balboa Ave, San Diego, CA 92111-2706 Ph: (858) 278-2837

Reviews and Comments

Optometrist in San Diego, CA

Dr. Dora Doan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Optometry Department, San Diego, CA 92105 Phone: 619-961-0803 Fax: 619-269-1257
Allen Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 Mira Mesa Blvd Ste A, San Diego, CA 92126 Phone: 858-566-1756 Fax: 858-566-1845
Hoang Minh Ho, O.d, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 Shawline St, San Diego, CA 92111 Phone: 858-560-5742
Loan Yen Huynh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5175 Waring Rd, San Diego, CA 92120 Phone: 619-583-1000
Brenda J Swiderski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6945 El Cajon Blvd, San Diego, CA 92115 Phone: 619-697-4600 Fax: 619-464-5526
Dr. Lori Johnson Bende, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Governor Dr, San Diego, CA 92122 Phone: 858-453-0444
Dr. Lisa M Galstian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7770 Regents Rd, Suite 104, San Diego, CA 92122 Phone: 858-546-1940 Fax: 858-546-0940

Melody Deborah Tavakoli, OD - Medicare Optometrist in San Diego, CA