Jade Isabella Fungquee, OD in Plant City, FL - Medicare Optometrist Provider

Jade Isabella Fungquee, OD is a medicare enrolled "Optometrist" provider in Plant City, Florida. Her current practice location is 102 Henry Ave, Plant City, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 704-6090.

Jade Isabella Fungquee is licensed to practice in Florida (license number OPC5946) 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 1043882541.

Contact Information

	Jade Isabella Fungquee, OD
	102 Henry Ave, Plant City, FL 33563-7118
	(813) 704-6090
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jade Isabella Fungquee
Gender	Female
Speciality	Optometrist
Location	102 Henry Ave, Plant City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043882541
Provider Enumeration Date: 07/14/2021
Last Update Date: 07/16/2021

Medicare PECOS Information:

PECOS PAC ID: 5294130241
Enrollment ID: I20210830000794

Medical Identifiers

Medical identifiers for Jade Isabella Fungquee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043882541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC5946 (Florida)	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. Jade Isabella Fungquee allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Florida, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073907028 PECOS PAC ID: 0143541037 Enrollment ID: O20150603002802

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. Jade Isabella Fungquee 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
Jade Isabella Fungquee, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Jade Isabella Fungquee, OD 102 Henry Ave, Plant City, FL 33563-7118 Ph: (813) 704-6090

Reviews and Comments

Optometrist in Plant City, FL

Dr. Barry M Gaffney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2002 S Alexander St, Plant City, FL 33563 Phone: 813-754-3593 Fax: 813-754-5464
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Henry Ave, Plant City, FL 33563 Phone: 813-704-6090
Daniel G Gaffney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2002 S Alexander St, Plant City, FL 33563 Phone: 813-856-2020 Fax: 813-754-5464
Dr. Roxanne Marie Walkowiak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 102 Henry Ave, Plant City, FL 33563 Phone: 813-704-6090
Eye Express, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Henry Ave, Plant City, FL 33563 Phone: 863-299-8908 Fax: 863-595-2838
Oculus Health Management Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2602 Jim Redman Pkwy, Plant City, FL 33566 Phone: 863-608-5330 Fax: 813-754-4432

Jade Isabella Fungquee, OD - Medicare Optometrist in Plant City, FL