Mancilla Family Eyecare is a medicare enrolled "Optometrist" provider in Imperial, California. Their current practice location is
435 W Aten Rd Ste 3, Imperial, California. You can reach out to their office (for appointments etc.) via phone at
(619) 370-7315.
Mancilla Family Eyecare is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mancilla Family Eyecare
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 1750169017.
Healthcare Provider's Profile
| Full Name | Mancilla Family Eyecare |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 435 W Aten Rd Ste 3, Imperial, 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: 1750169017
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183064629
- Enrollment ID: O20240430004194
Medical Identifiers
Medical identifiers for Mancilla Family Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750169017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mancilla Family Eyecare acts as a billing entity for following providers:
| Provider Name | Raul Alex Mancilla |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1487706198
PECOS PAC ID: 6608047857
Enrollment ID: I20240430004275 |
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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. Mancilla Family Eyecare 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 |
|---|
Mancilla Family Eyecare
435 W Aten Rd Ste 3,
Imperial, CA 92251-9819
Ph: (619) 370-7315 | Mancilla Family Eyecare
435 W Aten Rd Ste 3,
Imperial, CA 92251-9819
Ph: (619) 370-7315 |
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