Chisom Iwuanyanwu, OD is a medicare enrolled "Optometrist" provider in Laurelton, New York. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Donna Goukler Od Pc, Bronx Vistasite Eyecare Inc and her current practice location is
217 14 Merrick Blvd, Laurelton, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 978-0100.
Chisom Iwuanyanwu is licensed to practice in New York (license number TUV007637-1) 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 1134422355.
Healthcare Provider's Profile
| Full Name | Chisom Iwuanyanwu |
|---|
| Gender | Female |
|---|
| Speciality | Optometry |
|---|
| Experience | 21 Years |
|---|
| Location | 217 14 Merrick Blvd, Laurelton, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chisom Iwuanyanwu graduated from medical school in 2004
NPI Data:
- NPI Number: 1134422355
- Provider Enumeration Date: 12/09/2010
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204083751
- Enrollment ID: I20120906000031
Medical Identifiers
Medical identifiers for Chisom Iwuanyanwu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134422355 | NPI | - | NPPES |
| 03556163 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | TUV007637-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Donna Goukler Od Pc | 2769822477 | 8 |
| Bronx Vistasite Eyecare Inc | 7315129210 | 3 |
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. Chisom Iwuanyanwu allows following entities to bill medicare on her behalf.
| Provider Name | Bronx Vistasite Eyecare Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1114244563 PECOS PAC ID: 7315129210 Enrollment ID: O20110315000041 |
|---|
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. Chisom Iwuanyanwu 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 |
Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 | Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 |
Reviews and Comments