Shasta Vision Group An Optometric Corporation is a medicare enrolled "Optometrist" provider in Mount Shasta, California. Their current practice location is
110 Chestnut St, Mount Shasta, California. You can reach out to their office (for appointments etc.) via phone at
(530) 926-2033.
Shasta Vision Group An Optometric Corporation is licensed to practice in California (license number 152W00000X) and it also participates in the medicare program. Shasta Vision Group An Optometric Corporation
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 1669697348.
Healthcare Provider's Profile
| Full Name | Shasta Vision Group An Optometric Corporation |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 110 Chestnut St, Mount Shasta, 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: 1669697348
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 06/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 6305837311
- Enrollment ID: O20040519000987
Medical Identifiers
Medical identifiers for Shasta Vision Group An Optometric Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669697348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 152W00000X (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.
Shasta Vision Group An Optometric Corporation acts as a billing entity for following providers:
| Provider Name | Duane T Brooks |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1063415065
PECOS PAC ID: 6204915861
Enrollment ID: I20081125000760 |
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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. Shasta Vision Group An Optometric Corporation 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 |
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Shasta Vision Group An Optometric Corporation
110 Chestnut St,
Mount Shasta, CA 96067-2209
Ph: (530) 926-2033 | Shasta Vision Group An Optometric Corporation
110 Chestnut St,
Mount Shasta, CA 96067
Ph: (530) 926-2033 |
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