Caitlin Wallace, OD in Lehighton, PA - Medicare Optometrist Provider

Caitlin Wallace, OD is a medicare enrolled "Optometrist" provider in Lehighton, Pennsylvania. Her current practice location is 175 Interchange Rd, Lehighton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 349-9445.

Caitlin Wallace is licensed to practice in Pennsylvania (license number OEG003808) 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 1639731250.

Contact Information

	Caitlin Wallace, OD
	175 Interchange Rd, Lehighton, PA 18235-2824
	(610) 349-9445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caitlin Wallace
Gender	Female
Speciality	Optometrist
Location	175 Interchange Rd, Lehighton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639731250
Provider Enumeration Date: 07/03/2019
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5890021968
Enrollment ID: I20190726001416

Medical Identifiers

Medical identifiers for Caitlin Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639731250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4459AT (Oregon)	Secondary
152W00000X	Optometrist	OEG003808 (Pennsylvania)	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. Caitlin Wallace allows following entities to bill medicare on her behalf.

Provider Name	Lifetime Vision Source Of Lebanon Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710168877 PECOS PAC ID: 6608773148 Enrollment ID: O20031215000247

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. Caitlin Wallace 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
Caitlin Wallace, OD 4386 Maple Dr, Walnutport, PA 18088-9715 Ph: (610) 390-0752	Caitlin Wallace, OD 175 Interchange Rd, Lehighton, PA 18235-2824 Ph: (610) 349-9445

Reviews and Comments

Optometrist in Lehighton, PA

Independence Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 92 Blakeslee Boulevard Dr E, Lehighton, PA 18235 Phone: 610-379-9445 Fax: 610-379-9447
Dr. Cheryl L Marinchak, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 158 Mall Rd, Lehighton, PA 18235 Phone: 610-377-8585 Fax: 610-377-8586
Dr. Tinaya Marie Neeb, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 S 9th St, Lehighton, PA 18235 Phone: 484-464-7065

Caitlin Wallace, OD - Medicare Optometrist in Lehighton, PA