Michael P. Decarlo Optometrist, Inc. is a medicare enrolled "Eyewear Supplier" provider in Placentia, California. Their current practice location is
1428 N Kraemer Blvd, Placentia, California. You can reach out to their office (for appointments etc.) via phone at
(714) 996-1136.
Michael P. Decarlo Optometrist, Inc. is licensed to practice in California (license number 9416TPG) and it also participates in the medicare program. Michael P. Decarlo Optometrist, Inc.
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 1336351998.
Healthcare Provider's Profile
| Full Name | Michael P. Decarlo Optometrist, Inc. |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 1428 N Kraemer Blvd, Placentia, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336351998
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688618663
- Enrollment ID: O20050611000007
Medical Identifiers
Medical identifiers for Michael P. Decarlo Optometrist, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336351998 | NPI | - | NPPES |
| SD0094160 7 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WL0500X | Optometrist - Low Vision Rehabilitation | 9416T (California) | Secondary |
| 332H00000X | Eyewear Supplier | 9416TPG (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.
Michael P. Decarlo Optometrist, Inc. acts as a billing entity for following providers:
| Provider Name | Michael P De Carlo |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1346327673
PECOS PAC ID: 6406962042
Enrollment ID: I20120306000442 |
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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. Michael P. Decarlo Optometrist, Inc. 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 |
|---|
Michael P. Decarlo Optometrist, Inc.
1428 N Kraemer Blvd,
Placentia, CA 92870-3406
Ph: (714) 996-1136 | Michael P. Decarlo Optometrist, Inc.
1428 N Kraemer Blvd,
Placentia, CA 92870
Ph: (714) 996-1136 |
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