Mona Douglas, OD in Tyler, TX - Medicare Optometrist Provider

Mona Douglas, OD is a medicare enrolled "Optometrist" provider in Tyler, Texas. Her current practice location is 4524 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 581-1530.

Mona Douglas is licensed to practice in Texas (license number 5038TG) 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 1962841387.

Contact Information

	Mona Douglas, OD
	4524 S Broadway Ave, Tyler, TX 75703-1305
	(903) 581-1530
	(903) 534-8629

Map and Direction

Healthcare Provider's Profile

Full Name	Mona Douglas
Gender	Female
Speciality	Optometrist
Location	4524 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962841387
Provider Enumeration Date: 06/19/2013
Last Update Date: 06/19/2013

Medicare PECOS Information:

PECOS PAC ID: 2961793427
Enrollment ID: I20210524001731

Medical Identifiers

Medical identifiers for Mona Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962841387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5038TG (Texas)	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. Mona Douglas allows following entities to bill medicare on her behalf.

Provider Name	Larry M Chism Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033247598 PECOS PAC ID: 9032237508 Enrollment ID: O20120627000174

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. Mona Douglas 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
Mona Douglas, OD 4524 S Broadway Ave, Tyler, TX 75703-1305 Ph: (903) 581-1530	Mona Douglas, OD 4524 S Broadway Ave, Tyler, TX 75703-1305 Ph: (903) 581-1530

Reviews and Comments

Optometrist in Tyler, TX

Bryan E Frazier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5791 New Copeland Rd, Tyler, TX 75703 Phone: 903-339-3035 Fax: 903-339-3036
Dr. David Michael Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2756 S Broadway Ave, Tyler, TX 75701 Phone: 903-593-2345 Fax: 903-593-4646
Piney Woods Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Southwest Loop 323, Tyler, TX 75701 Phone: 480-375-8908
Vision Source Of Tyler Optometrist Medicare: Medicare Enrolled Practice Location: 136 Shelley Drive, Tyler, TX 75701 Phone: 903-561-8686 Fax: 903-581-1518
Dr. Andrew Eric Hamilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4826 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-6995
Dat Ly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7924 S Broadway Ave, Ste 200, Tyler, TX 75703 Phone: 903-617-6864 Fax: 903-504-5758
20/20 Icare Tyler Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4824 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-2020

Mona Douglas, OD - Medicare Optometrist in Tyler, TX