Wilbur Susilasate, OD in Seattle, WA - Medicare Optometry Provider

Wilbur Susilasate, OD is a medicare enrolled "Optometrist" provider in Seattle, Washington. He went to University Of California - School Of Optometry and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Rainier Valley Optometric Inc and his current practice location is 7101 Martin Luther King Jr Way S, #209, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 722-2218.

Wilbur Susilasate is licensed to practice in Washington (license number OD 3608) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891783676.

Contact Information

	Wilbur Susilasate, OD
	7101 Martin Luther King Jr Way S, #209, Seattle, WA 98118-3594
	(206) 722-2218
	(206) 722-2211

Map and Direction

Healthcare Provider's Profile

Full Name	Wilbur Susilasate
Gender	Male
Speciality	Optometry
Experience	24 Years
Location	7101 Martin Luther King Jr Way S, Seattle, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wilbur Susilasate attended and graduated from University Of California - School Of Optometry in 2000

NPI Data:

NPI Number: 1891783676
Provider Enumeration Date: 10/06/2005
Last Update Date: 07/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7517931629
Enrollment ID: I20040826001045

Medical Identifiers

Medical identifiers for Wilbur Susilasate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891783676	NPI	-	NPPES
2029262	Medicaid	WA
2029528	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD 3608 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rainier Valley Optometric Inc	1557335650	2

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. Wilbur Susilasate allows following entities to bill medicare on his behalf.

Provider Name	Rainier Valley Optometric Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447391669 PECOS PAC ID: 1557335650 Enrollment ID: O20040824000974

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. Wilbur Susilasate 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
Wilbur Susilasate, OD 7101 Martin Luther King Jr Way S, # 209, Seattle, WA 98118-3594 Ph: (206) 722-2218	Wilbur Susilasate, OD 7101 Martin Luther King Jr Way S, #209, Seattle, WA 98118-3594 Ph: (206) 722-2218

Reviews and Comments

Optometrist in Seattle, WA

Kelly K Malueg, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1519 Alaskan Way S, Base Seattle Medical, Seattle, WA 98134 Phone: 206-217-6432 Fax: 206-217-6636
Isaac H Varon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6331 Hampton Rd S, Seattle, WA 98118 Phone: 206-725-2748
Westlake Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Pine St Ste 30, Seattle, WA 98101 Phone: 206-624-4898
Dr. Zhi Neng Feng, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4720 42nd Ave Sw, Seattle, WA 98116 Phone: 206-588-1037
Stephen D Nevett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 Ne Northgate Way Spc 1101, Seattle, WA 98125 Phone: 206-364-2273 Fax: 206-364-2576
Dr. Diana Chau, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200
Cannon Eyecare (at Pike Place's Market Optical) Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1906 Pike Place, Suite 8-b, At Market Optical, Seattle, WA 98101 Phone: 206-448-7739 Fax: 206-448-4924

Wilbur Susilasate, OD - Medicare Optometrist in Seattle, WA