Dr Channon W Kao, OD in Berkeley, CA - Medicare Optometrist Provider

Dr Channon W Kao, OD is a medicare enrolled "Optometrist" provider in Berkeley, California. Her current practice location is 2112 Shattuck Ave., Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 644-0909.

Dr Channon W Kao is licensed to practice in California (license number 10272) 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 1578623062.

Contact Information

	Dr Channon W Kao, OD
	2112 Shattuck Ave., Berkeley, CA 94704
	(510) 644-0909
	(510) 540-5542

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Channon W Kao
Gender	Female
Speciality	Optometrist
Location	2112 Shattuck Ave., Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578623062
Provider Enumeration Date: 12/12/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3870726227
Enrollment ID: I20140509000482

Medical Identifiers

Medical identifiers for Dr Channon W Kao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578623062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10272 (California)	Primary
152W00000X	Optometrist	3781 (Massachusetts)	Secondary

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 Channon W Kao allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Channon W Kao 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
Dr Channon W Kao, OD 2112 Shattuck Ave., Berkeley, CA 94704 Ph: (510) 644-0909	Dr Channon W Kao, OD 2112 Shattuck Ave., Berkeley, CA 94704 Ph: (510) 644-0909

Reviews and Comments

Optometrist in Berkeley, CA

Dr. Carl H. Jacobsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720 Phone: 510-643-9826 Fax: 510-642-4025
Nancy Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: University Of California School Of Optometry, 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-0945
Annie Chang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1931 Dwight Way, Apt 20, Berkeley, CA 94704 Phone: 310-619-1266
Dr. John Corzine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Minor Hall, University Of California, Berkeley, CA 94720 Phone: 510-643-2793 Fax: 510-643-5109
Dr. Ghazal Naseri, OD Optometrist Medicare: Medicare Enrolled Practice Location: 230 Minor Hall, Berkeley, CA 94720 Phone: 510-642-2020
Anne Tasaki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, Berkeley, CA 94720 Phone: 510-642-2020
Daphne Chan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Minor Hl, University Of California, Berkeley, Berkeley, CA 94720 Phone: 510-642-0945

Dr Channon W Kao, OD - Medicare Optometrist in Berkeley, CA