Dr Dennis Watanabe, OD in South Gate, CA - Medicare Optometrist Provider

Dr Dennis Watanabe, OD is a medicare enrolled "Optometrist" provider in South Gate, California. His current practice location is 4476 Tweedy Blvd, South Gate, California. You can reach out to his office (for appointments etc.) via phone at (323) 563-9499.

Dr Dennis Watanabe is licensed to practice in California (license number 7702T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851404040.

Contact Information

	Dr Dennis Watanabe, OD
	4476 Tweedy Blvd, South Gate, CA 90280-6359
	(323) 563-9499
	(323) 563-9056

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dennis Watanabe
Gender	Male
Speciality	Optometrist
Location	4476 Tweedy Blvd, South Gate, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851404040
Provider Enumeration Date: 08/15/2006
Last Update Date: 07/15/2016

Medicare PECOS Information:

PECOS PAC ID: 3476608019
Enrollment ID: I20090902000509

Medical Identifiers

Medical identifiers for Dr Dennis Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851404040	NPI	-	NPPES
SD007020	Medicaid	CA
SD0077020	Medicaid	CA
410046776	Other	CA	MEDICARE RAILROAD
00OPT7702T0	Other	CA	BLUE SHIELD
410046776	Other	CA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT7702T (California)	Secondary
152W00000X	Optometrist	7702T (California)	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. Dr Dennis Watanabe allows following entities to bill medicare on his behalf.

Provider Name	Pioneer Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548303589 PECOS PAC ID: 1759317696 Enrollment ID: O20050712001246

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 Dennis Watanabe 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 Dennis Watanabe, OD 75 Remittance Dr, Dept 6008, Chicago, IL 60675-6008 Ph: (562) 282-1419	Dr Dennis Watanabe, OD 4476 Tweedy Blvd, South Gate, CA 90280-6359 Ph: (323) 563-9499

Reviews and Comments

Optometrist in South Gate, CA

Hanh H Tran Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4651 Firestone Blvd, South Gate, CA 90280 Phone: 323-564-2872 Fax: 323-564-0016
Jonathan Kiriboon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183
South Gate Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183
Dr. Charles Howard Levy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8106 Long Beach Blvd, South Gate, CA 90280 Phone: 323-585-5411 Fax: 323-585-6515
Felicia Kang Chen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183
Dr. Katelyn Terese Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10920 Garfield Ave Ste A2, South Gate, CA 90280 Phone: 562-861-9098 Fax: 562-861-9533
Mr. Jack Paul Melmed, OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3329 Tweedy Blvd, South Gate, CA 90280 Phone: 323-566-6183 Fax: 323-566-0319

Dr Dennis Watanabe, OD - Medicare Optometrist in South Gate, CA