Shane Theobald, OD in Chandler, AZ - Medicare Optometry Provider

Shane Theobald, OD is a medicare enrolled "Optometrist" provider in Chandler, Arizona. He went to Southern College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Cigna Healthcare Of Arizona Inc and his current practice location is 1717 W. Chandler Blvd, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 821-7565.

Shane Theobald is licensed to practice in Arizona (license number 1521) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760415947.

Contact Information

	Shane Theobald, OD
	1717 W. Chandler Blvd, Chandler, AZ 85224
	(480) 821-7565
	(480) 821-4303

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Theobald
Gender	Male
Speciality	Optometry
Experience	18 Years
Location	1717 W. Chandler Blvd, Chandler, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane Theobald attended and graduated from Southern College Of Optometry in 2006

NPI Data:

NPI Number: 1760415947
Provider Enumeration Date: 07/09/2006
Last Update Date: 03/04/2014

Medicare PECOS Information:

PECOS PAC ID: 6103839485
Enrollment ID: I20060803000481

Medical Identifiers

Medical identifiers for Shane Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760415947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1521 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cigna Healthcare Of Arizona Inc	1456263573	125

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. Shane Theobald allows following entities to bill medicare on his behalf.

Provider Name	Cigna Healthcare Of Arizona Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515

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. Shane Theobald 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
Shane Theobald, OD 25500 N. Norterra Parkway, Bldg B, Phoenix, AZ 85085 Ph: (623) 277-1000	Shane Theobald, OD 1717 W. Chandler Blvd, Chandler, AZ 85224 Ph: (480) 821-7565

Reviews and Comments

Optometrist in Chandler, AZ

Dr. David Christensen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Alma School Rd, Chandler, AZ 85224 Phone: 480-786-1075 Fax: 480-786-0476
James Sterenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W Chandler Blvd, Chandler, AZ 85224 Phone: 480-821-7565
Dr. Nancy Nan-yin Liaw, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1815 E Queen Creek Rd, Ste. #2, Chandler, AZ 85286 Phone: 480-895-2020 Fax: 480-699-6724
Vision Edge Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 7130 W Chandler Blvd Ste 19, Chandler, AZ 85226 Phone: 480-961-8999 Fax: 480-961-5009
Kristin Renee Cerni, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-518-1697
Dr. Neal Weinstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-961-1865 Fax: 480-961-4605
Dr. David Palmieri, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-961-1865 Fax: 480-961-1865

Shane Theobald, OD - Medicare Optometrist in Chandler, AZ