Stephanie Kim Lesage, OD in Dallas, TX - Medicare Optometrist Provider

Stephanie Kim Lesage, OD is a medicare enrolled "Optometrist" provider in Dallas, Texas. Her current practice location is 6336 Gaston Ave, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 732-6385.

Stephanie Kim Lesage is licensed to practice in Texas (license number 8268-T) 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 1568803419.

Contact Information

	Stephanie Kim Lesage, OD
	6336 Gaston Ave, Dallas, TX 75214
	(713) 732-6385
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Kim Lesage
Gender	Female
Speciality	Optometrist
Location	6336 Gaston Ave, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568803419
Provider Enumeration Date: 07/08/2013
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5890929814
Enrollment ID: I20240513002608

Medical Identifiers

Medical identifiers for Stephanie Kim Lesage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568803419	NPI	-	NPPES
01102701	Medicaid	LA
2342797	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1658-692T (Louisiana)	Secondary
152W00000X	Optometrist	5043 (Massachusetts)	Secondary
152W00000X	Optometrist	8268-T (Texas)	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. Stephanie Kim Lesage allows following entities to bill medicare on her behalf.

Provider Name	Modern Spectacle Eyecare Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164294807 PECOS PAC ID: 3971944679 Enrollment ID: O20240513002019

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. Stephanie Kim Lesage 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
Stephanie Kim Lesage, OD 6336 Gaston Ave, Dallas, TX 75214-3926 Ph: () -	Stephanie Kim Lesage, OD 6336 Gaston Ave, Dallas, TX 75214 Ph: (713) 732-6385

Reviews and Comments

Optometrist in Dallas, TX

Elevate Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 200 Short Blvd, Dallas, TX 75232 Phone: 504-319-9017
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Envision 20-20 Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1521 Cockrell Hill Rd, Dallas, TX 75211 Phone: 214-337-0530
Dr. John Francis Haarde Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5494 Glen Lakes Dr, Dallas, TX 75231 Phone: 214-692-6220 Fax: 214-696-1579
Shelby Alyse Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5560 W Lovers Ln Ste 240, Dallas, TX 75209 Phone: 469-775-9700 Fax: 806-791-4077

Stephanie Kim Lesage, OD - Medicare Optometrist in Dallas, TX