- Medicare in San Bernardino, CA

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is a medicare enrolled "Ophthalmology" provider in San Bernardino, California. Their current practice location is 1909 N Waterman Ave Ste 3, San Bernardino, California. You can reach out to their office (for appointments etc.) via phone at (908) 882-8829.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1609437599.

Contact Information

1909 N Waterman Ave Ste 3,
San Bernardino, CA 92404-4842
(908) 882-8829
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location1909 N Waterman Ave Ste 3, San Bernardino, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609437599
  • Provider Enumeration Date: 06/22/2019
  • Last Update Date: 08/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7214269646
  • Enrollment ID: O20191104002280

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609437599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (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. acts as a billing entity for following providers:
Provider NameGintien Huang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225325129
PECOS PAC ID: 1355568338
Enrollment ID: I20150501001826
Provider NameSamantha Makpaiboonvatana
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043703564
PECOS PAC ID: 6901148733
Enrollment ID: I20190716000784
Provider NamePatricia Liang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912481961
PECOS PAC ID: 3072999473
Enrollment ID: I20221010000516
Provider NameJessica Hu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154043982
PECOS PAC ID: 1759745458
Enrollment ID: I20230913004377
Provider NameJustin Minh Thien Hua
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386405975
PECOS PAC ID: 6507200359
Enrollment ID: I20240220002370
Provider NameTiffany Tran
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780402909
PECOS PAC ID: 9739612201
Enrollment ID: I20241023002291

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. 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 AddressPractice Location Address

1909 N Waterman Ave Ste 3,
San Bernardino, CA 92404-4842

Ph: (908) 882-8829
1909 N Waterman Ave Ste 3,
San Bernardino, CA 92404-4842

Ph: (908) 882-8829

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.