Tram Quynhphan Le, OD is a medicare enrolled "Optometrist" provider in Sand City, California. Her current practice location is
801 Tioga Ave, Sand City, California. You can reach out to her office (for appointments etc.) via phone at
(831) 899-4185.
Tram Quynhphan Le is licensed to practice in California (license number 14935) 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 1780098962.
Healthcare Provider's Profile
Full Name | Tram Quynhphan Le |
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Gender | Female |
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Speciality | Optometrist |
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Location | 801 Tioga Ave, Sand City, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780098962
- Provider Enumeration Date: 06/17/2014
- Last Update Date: 10/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476877135
- Enrollment ID: I20150129000034
Medical Identifiers
Medical identifiers for Tram Quynhphan Le such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780098962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 14935 (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. Tram Quynhphan Le allows following entities to bill medicare on her behalf.
Provider Name | Tram Le Od Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932787520 PECOS PAC ID: 9830569318 Enrollment ID: O20221227001016 |
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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. Tram Quynhphan Le 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 |
Tram Quynhphan Le, OD 801 Tioga Ave, Sand City, CA 93955-3050 Ph: (831) 899-4185 | Tram Quynhphan Le, OD 801 Tioga Ave, Sand City, CA 93955-3050 Ph: (831) 899-4185 |
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