Samuel N Fallejo, OD in Daly City, CA - Medicare Optometrist Provider

Samuel N Fallejo, OD is a medicare enrolled "Optometrist" provider in Daly City, California. His current practice location is 395 Hickey Blvd, Eye Services Dept, 5th Floor, Daly City, California. You can reach out to his office (for appointments etc.) via phone at (650) 301-5873.

Samuel N Fallejo is licensed to practice in California (license number 10885T) 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 1912050055.

Contact Information

	Samuel N Fallejo, OD
	395 Hickey Blvd, Eye Services Dept, 5th Floor, Daly City, CA 94015-2770
	(650) 301-5873
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel N Fallejo
Gender	Male
Speciality	Optometrist
Location	395 Hickey Blvd, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912050055
Provider Enumeration Date: 01/20/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5597914200
Enrollment ID: I20121012000104

Medical Identifiers

Medical identifiers for Samuel N Fallejo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912050055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10885T (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. Samuel N Fallejo allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Samuel N Fallejo 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
Samuel N Fallejo, OD 395 Hickey Blvd, Eye Services Dept, 5th Floor, Daly City, CA 94015-2770 Ph: (650) 301-5873	Samuel N Fallejo, OD 395 Hickey Blvd, Eye Services Dept, 5th Floor, Daly City, CA 94015-2770 Ph: (650) 301-5873

Reviews and Comments

Optometrist in Daly City, CA

Dr. Shirley Yuen Reeves, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-301-5800
Site For Sore Eyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 69 Serramonte Ctr, Daly City, CA 94015 Phone: 650-992-8404 Fax: 650-992-6782
Dr. Eve Chan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 210 Skyline Plz, Daly City, CA 94015 Phone: 650-755-2000
Dr. Robert Stephen Mcgarvey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 69 Serramonte Ctr, Daly City, CA 94015 Phone: 650-992-8404 Fax: 650-992-6782
Paul Reginald Holland, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2171 Junipero Serra Blvd Ste 100, Daly City, CA 94014 Phone: 650-994-3390 Fax: 650-994-0161
Serena Yee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 540, Daly City, CA 94015 Phone: 650-755-6900 Fax: 650-755-2107
Daly City Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 94b Serramonte Ctr, Daly City, CA 94015 Phone: 650-756-4000 Fax: 650-756-4070

Samuel N Fallejo, OD - Medicare Optometrist in Daly City, CA