Mr Eddy Sidra, OD in San Antonio, TX - Medicare Optometrist Provider

Mr Eddy Sidra, OD is a medicare enrolled "Optometrist" provider in San Antonio, Texas. His current practice location is 7400 San Pedro Avenue, Suite 486, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 541-0008.

Mr Eddy Sidra is licensed to practice in Texas (license number 9862) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437792876.

Contact Information

	Mr Eddy Sidra, OD
	7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216
	(210) 541-0008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Eddy Sidra
Gender	Male
Speciality	Optometrist
Location	7400 San Pedro Avenue, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437792876
Provider Enumeration Date: 10/17/2019
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3274904644
Enrollment ID: I20240129003481

Medical Identifiers

Medical identifiers for Mr Eddy Sidra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437792876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9862 (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. Mr Eddy Sidra allows following entities to bill medicare on his behalf.

Provider Name	Texas Elite Eye Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952056756 PECOS PAC ID: 1254702624 Enrollment ID: O20240129003186

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. Mr Eddy Sidra 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
Mr Eddy Sidra, OD 7400 San Pedro Avenue, 486, San Antonio, TX 78216 Ph: (210) 541-0008	Mr Eddy Sidra, OD 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 Ph: (210) 541-0008

Reviews and Comments

Optometrist in San Antonio, TX

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Mr Eddy Sidra, OD - Medicare Optometrist in San Antonio, TX