Dr Jackie Huei-huan Chao, OD is a medicare enrolled "Optometrist" provider in Roxbury Crossing, Massachusetts. Her current practice location is
1125 Tremont St, Roxbury Crossing, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 989-3057.
Dr Jackie Huei-huan Chao is licensed to practice in Massachusetts (license number 4556) 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 1588736367.
Healthcare Provider's Profile
| Full Name | Dr Jackie Huei-huan Chao |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1125 Tremont St, Roxbury Crossing, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588736367
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224094842
- Enrollment ID: I20121026000665
Medical Identifiers
Medical identifiers for Dr Jackie Huei-huan Chao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588736367 | NPI | - | NPPES |
| 2025351 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4556 (Massachusetts) | 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 Jackie Huei-huan Chao allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Jackie Huei-huan Chao 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 Jackie Huei-huan Chao, OD
75 Peterborough St Apt 403,
Boston, MA 02215-4313
Ph: (206) 920-9929 | Dr Jackie Huei-huan Chao, OD
1125 Tremont St,
Roxbury Crossing, MA 02120-2178
Ph: (617) 989-3057 |
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