Diba Ossareh, OD is a medicare enrolled "Optometrist" provider in Wildwood, Florida. Her current practice location is
5431 E Sr 44 Ste 1, Wildwood, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 632-2020.
Diba Ossareh is licensed to practice in Florida (license number OPC6388) 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 1235816067.
Healthcare Provider's Profile
Full Name | Diba Ossareh |
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Gender | Female |
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Speciality | Optometrist |
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Location | 5431 E Sr 44 Ste 1, Wildwood, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235816067
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658804943
- Enrollment ID: I20241024003472
Medical Identifiers
Medical identifiers for Diba Ossareh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235816067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPT35830 (California) | Secondary |
152W00000X | Optometrist | OPC6388 (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. Diba Ossareh allows following entities to bill medicare on her behalf.
Provider Name | Castillejos Eye Institute Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841377660 PECOS PAC ID: 8729023478 Enrollment ID: O20050622001351 |
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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. Diba Ossareh 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 |
Diba Ossareh, OD Po Box 919788, Orlando, FL 32891-9788 Ph: (888) 856-1878 | Diba Ossareh, OD 5431 E Sr 44 Ste 1, Wildwood, FL 34785-8294 Ph: (352) 632-2020 |
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