Shelley Clark Rachal, OD - Medicare Optometrist in Niwot, CO

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Shelley Clark Rachal, OD is a medicare enrolled "Optometrist - Vision Therapy" provider in Niwot, Colorado. Her current practice location is 6800 N 79th St Ste 101, Niwot, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 652-0505.

Shelley Clark Rachal is licensed to practice in Colorado (license number 0003731) 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 1497371520.

Contact Information

Shelley Clark Rachal, OD
6800 N 79th St Ste 101,
Niwot, CO 80503-8978
(303) 652-0505
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShelley Clark Rachal
GenderFemale
SpecialityOptometrist - Vision Therapy
Location6800 N 79th St Ste 101, Niwot, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497371520
  • Provider Enumeration Date: 06/24/2020
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072933423
  • Enrollment ID: I20201023001097

Medical Identifiers

Medical identifiers for Shelley Clark Rachal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497371520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy 0003731 (Colorado)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. Shelley Clark Rachal allows following entities to bill medicare on her behalf.
Provider NameState Of New York Comptrollers Office
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407829856
PECOS PAC ID: 0840101770
Enrollment ID: O20040514000118

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. Shelley Clark Rachal 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
Shelley Clark Rachal, OD
196 Maxwell Cir,
Erie, CO 80516-8409

Ph: (630) 532-4998		Shelley Clark Rachal, OD
6800 N 79th St Ste 101,
Niwot, CO 80503-8978

Ph: (303) 652-0505

Reviews and Comments


Optometrist in Niwot, CO

Niwot Eyecare And Vision Therapy
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 N 79th St Ste 101, Niwot, CO 80503
Phone: 303-652-0505    Fax: 303-652-0606

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.