Dr Jerry Stanley Wake, OD in Gardena, CA - Medicare Optometrist Provider

Dr Jerry Stanley Wake, OD is a medicare enrolled "Optometrist" provider in Gardena, California. His current practice location is 1630 W Redondo Beach Blvd, Suite #1, Gardena, California. You can reach out to his office (for appointments etc.) via phone at (310) 324-8205.

Dr Jerry Stanley Wake is licensed to practice in California (license number 5790T) 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 1013033059.

Contact Information

	Dr Jerry Stanley Wake, OD
	1630 W Redondo Beach Blvd, Suite #1, Gardena, CA 90247-3200
	(310) 324-8205
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerry Stanley Wake
Gender	Male
Speciality	Optometrist
Location	1630 W Redondo Beach Blvd, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013033059
Provider Enumeration Date: 03/21/2007
Last Update Date: 05/02/2014

Medicare PECOS Information:

PECOS PAC ID: 7214253038
Enrollment ID: I20150313000013

Medical Identifiers

Medical identifiers for Dr Jerry Stanley Wake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013033059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5790T (California)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	5790T (California)	Secondary

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 Jerry Stanley Wake allows following entities to bill medicare on his behalf.

Provider Name	Jerry S Wake Od Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942611199 PECOS PAC ID: 6406172220 Enrollment ID: O20150313000008

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 Jerry Stanley Wake 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 Jerry Stanley Wake, OD 1630 W Redondo Beach Blvd, Suite #1, Gardena, CA 90247-3200 Ph: (310) 324-8205	Dr Jerry Stanley Wake, OD 1630 W Redondo Beach Blvd, Suite #1, Gardena, CA 90247-3200 Ph: (310) 324-8205

Reviews and Comments

Optometrist in Gardena, CA

Joel Goodman Od A Prof Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180
East-west Eye Institute A Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 100, Gardena, CA 90248 Phone: 310-329-9975 Fax: 310-329-4759
Michael Kobayashi, Od Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18204 S Western Ave, Gardena, CA 90248 Phone: 310-719-2020 Fax: 310-719-2068
Nancy T Imamoto Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180
Yoshioka Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1425 W Artesia Blvd, Ste #32, Gardena, CA 90248 Phone: 310-769-1642
Cecilia Chang Raju, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15446 S Western Ave, Gardena, CA 90249 Phone: 310-217-5370

Dr Jerry Stanley Wake, OD - Medicare Optometrist in Gardena, CA