Dr Delesie Petric Johnson, OD in San Antonio, TX

Dr Delesie Petric Johnson, OD is a medicare enrolled "Optometrist" provider in San Antonio, Texas. Her current practice location is 9307 Foxgrove Way, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 523-5276.

Dr Delesie Petric Johnson is licensed to practice in Texas (license number 4493T) 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 1003032970.

Contact Information

	Dr Delesie Petric Johnson, OD
	9307 Foxgrove Way, San Antonio, TX 78251-4107
	(210) 523-5276
	(210) 523-5276

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Delesie Petric Johnson
Gender	Female
Speciality	Optometrist
Location	9307 Foxgrove Way, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003032970
Provider Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8921276254
Enrollment ID: I20110712000568

Medical Identifiers

Medical identifiers for Dr Delesie Petric Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003032970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4493T (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. Dr Delesie Petric Johnson allows following entities to bill medicare on her behalf.

Provider Name	Markitta S Barnett
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1649478819 PECOS PAC ID: 4183710528 Enrollment ID: I20081201000478

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. Dr Delesie Petric Johnson 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
Dr Delesie Petric Johnson, OD 9307 Foxgrove Way, San Antonio, TX 78251-4107 Ph: (210) 523-5276	Dr Delesie Petric Johnson, OD 9307 Foxgrove Way, San Antonio, TX 78251-4107 Ph: (210) 523-5276

Reviews and Comments

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Dr Delesie Petric Johnson, OD - Medicare Optometrist in San Antonio, TX