Dr Sharon M Theodore, MD - Medicare Ophthalmology in Pismo Beach, CA

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Dr Sharon M Theodore, MD is a medicare enrolled "Ophthalmology" physician in Pismo Beach, California. She went to University Of California, San Francisco School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Sani Eye Center Inc. and her current practice location is 300 James Way Ste 150, Pismo Beach, California. You can reach out to her office (for appointments etc.) via phone at (805) 876-3050.

Dr Sharon M Theodore is licensed to practice in California (license number A91327) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831145739.

Contact Information

Dr Sharon M Theodore, MD
300 James Way Ste 150,
Pismo Beach, CA 93449-2874
(805) 876-3050
(805) 876-3052

Map and Direction




Physician's Profile

Full NameDr Sharon M Theodore
GenderFemale
SpecialityOphthalmology
Experience25 Years
Location300 James Way Ste 150, Pismo Beach, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sharon M Theodore attended and graduated from University Of California, San Francisco School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1831145739
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 03/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476598889
  • Enrollment ID: I20050627000544

Medical Identifiers

Medical identifiers for Dr Sharon M Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831145739NPI-NPPES
00 A913270MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A91327 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sani Eye Center Inc.47896035494

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 Sharon M Theodore allows following entities to bill medicare on her behalf.
Entity NameSani Eye Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407056591
PECOS PAC ID: 4789603549
Enrollment ID: O20051122000354
Entity NameCentral Coast Eye Inc A Professional Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992228795
PECOS PAC ID: 1951676220
Enrollment ID: O20171012001612
Entity NameCentral Coast Retina Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558986455
PECOS PAC ID: 6204259427
Enrollment ID: O20200707001777

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 Sharon M Theodore 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 AddressPractice Location Address
Dr Sharon M Theodore, MD
300 James Way Ste 150,
Pismo Beach, CA 93449-2874

Ph: (805) 876-3050		Dr Sharon M Theodore, MD
300 James Way Ste 150,
Pismo Beach, CA 93449-2874

Ph: (805) 876-3050

Reviews and Comments


Ophthalmology Doctors in Pismo Beach, CA

Paul T Stallman, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2 James Way, Suite 203, Pismo Beach, CA 93449
Phone: 805-481-3733    Fax: 805-489-7376
Dr. Janet Chen, M.D,
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 921 Oak Park Blvd, Suite 201b, Pismo Beach, CA 93449
Phone: 805-489-8286    Fax: 805-489-7376
Dr. Craig A Merrill, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 931 Oak Park Blvd, Ste 201, Pismo Beach, CA 93449
Phone: 805-473-6640    Fax: 805-473-5873
Dr. Terry L. Kaiura, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 921 Oak Park Blvd, Suite 201b, Pismo Beach, CA 93449
Phone: 805-489-8286    Fax: 805-489-7376

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.