Shauna Mazzulla, OD in Sammamish, WA - Medicare Optometrist Provider

Shauna Mazzulla, OD is a medicare enrolled "Optometrist" provider in Sammamish, Washington. Her current practice location is 602 228th Ave Ne, Sammamish, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 836-5352.

Shauna Mazzulla is licensed to practice in Washington (license number 3661 TX) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396893608.

Contact Information

	Shauna Mazzulla, OD
	602 228th Ave Ne, Sammamish, WA 98074-7241
	(425) 836-5352
	(425) 898-9880

Map and Direction

Healthcare Provider's Profile

Full Name	Shauna Mazzulla
Gender	Female
Speciality	Optometrist
Location	602 228th Ave Ne, Sammamish, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396893608
Provider Enumeration Date: 01/05/2007
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7517993991
Enrollment ID: I20171024001600

Medical Identifiers

Medical identifiers for Shauna Mazzulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396893608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3661 TX (Washington)	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. Shauna Mazzulla allows following entities to bill medicare on her behalf.

Provider Name	Vanessa Michel Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437480456 PECOS PAC ID: 9234266065 Enrollment ID: O20100427000224

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. Shauna Mazzulla 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
Shauna Mazzulla, OD 602 228th Ave Ne, Sammamish, WA 98074-7241 Ph: (425) 836-5352	Shauna Mazzulla, OD 602 228th Ave Ne, Sammamish, WA 98074-7241 Ph: (425) 836-5352

Reviews and Comments

Optometrist in Sammamish, WA

Kerry J Moscovitz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22741 Se 29th St, Sammamish, WA 98075 Phone: 425-392-2196 Fax: 425-392-8934
Dr. Jessica Nadine Lee, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 22741 Se 29th St, Sammamish, WA 98075 Phone: 425-392-2196
Pamela F. Duesing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3042 Issaquah Pine Lake Rd Se, Sammamish, WA 98075 Phone: 425-392-7876 Fax: 425-392-9927
Arbor Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22620 Se 4th St Ste 110, Sammamish, WA 98074 Phone: 425-242-6868 Fax: 425-831-0027
Dr. Jay Stephen Kaufman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 22850 Ne 8th St, Suite 102, Sammamish, WA 98074 Phone: 425-868-3622
Heidi Marie Sutter, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 22741 Se 29th St, Sammamish, WA 98075 Phone: 425-392-2196 Fax: 425-392-8934

Shauna Mazzulla, OD - Medicare Optometrist in Sammamish, WA