Miss Jasmine Lynn, OD is a medicare enrolled "Optometrist" provider in Sepulveda, California. Her current practice location is
16111 Plummer St, Sepulveda, California. You can reach out to her office (for appointments etc.) via phone at
(818) 891-7711.
Miss Jasmine Lynn is licensed to practice in California (license number 33941TLG) 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 1487158622.
Healthcare Provider's Profile
| Full Name | Miss Jasmine Lynn |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 16111 Plummer St, Sepulveda, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487158622
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 06/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 8224360359
- Enrollment ID: I20191023000467
Medical Identifiers
Medical identifiers for Miss Jasmine Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487158622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 33941TLG (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. Miss Jasmine Lynn allows following entities to bill medicare on her behalf.
| Provider Name | Jonathan M. Davidorf, M.d. Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396913695
PECOS PAC ID: 7719063825
Enrollment ID: O20080328000346 |
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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. Miss Jasmine Lynn 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 |
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Miss Jasmine Lynn, OD
8372 Winston Rd,
Stanton, CA 90680-1728
Ph: (562) 253-1996 | Miss Jasmine Lynn, OD
16111 Plummer St,
Sepulveda, CA 91343
Ph: (818) 891-7711 |
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