Taylor D Tedder, OD in Moorpark, CA - Medicare Optometrist Provider

Taylor D Tedder, OD is a medicare enrolled "Optometrist" provider in Moorpark, California. His current practice location is 766 W Los Angeles Ave, D3, Moorpark, California. You can reach out to his office (for appointments etc.) via phone at (805) 523-3440.

Taylor D Tedder is licensed to practice in California (license number 13350) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639364532.

Contact Information

	Taylor D Tedder, OD
	766 W Los Angeles Ave, D3, Moorpark, CA 93021-9302
	(805) 523-3440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor D Tedder
Gender	Male
Speciality	Optometrist
Location	766 W Los Angeles Ave, Moorpark, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639364532
Provider Enumeration Date: 09/13/2007
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 6406944891
Enrollment ID: I20071119000405

Medical Identifiers

Medical identifiers for Taylor D Tedder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639364532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13350T (California)	Secondary
152W00000X	Optometrist	13350 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taylor D Tedder allows following entities to bill medicare on his behalf.

Provider Name	Tedder Optometric Clinic Management, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851091805 PECOS PAC ID: 7012371263 Enrollment ID: O20230907000242

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. Taylor D Tedder 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
Taylor D Tedder, OD 766 W Los Angeles Ave, D3, Moorpark, CA 93021 Ph: (805) 523-3440	Taylor D Tedder, OD 766 W Los Angeles Ave, D3, Moorpark, CA 93021-9302 Ph: (805) 523-3440

Reviews and Comments

Optometrist in Moorpark, CA

Dr. John William Wood, OD Optometrist Medicare: Medicare Enrolled Practice Location: 252 W Los Angeles Ave, Suite G, Moorpark, CA 93021 Phone: 805-529-5497 Fax: 805-529-4987
Advanced Family Vision Optometrist Medicare: Medicare Enrolled Practice Location: 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 Phone: 805-624-1254
Dr. Annie Hovakemian, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4279 Tierra Rejada Rd, Moorpark, CA 93021 Phone: 805-222-2323 Fax: 805-222-2333
Eyes On L.a. Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 251 W Los Angeles Ave, Moorpark, CA 93021 Phone: 805-552-0004 Fax: 805-552-0005
Kimberly A Tedder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 Phone: 805-523-3440 Fax: 805-523-3442
Dr. Nicole V Le, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 766 New Los Angeles Ave Ste D-3, Moorpark, CA 93021 Phone: 805-523-3440
Mr. Anh Tuan Pham, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4279 Tierra Rejada Rd, Moorpark, CA 93021 Phone: 805-222-2323 Fax: 805-222-2333

Taylor D Tedder, OD - Medicare Optometrist in Moorpark, CA