Dr Jack Chia Shea, OD in Costa Mesa, CA - Medicare Optometrist Provider

Dr Jack Chia Shea, OD is a medicare enrolled "Optometrist" provider in Costa Mesa, California. His current practice location is 2200 Harbor Blvd, Ste D130, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (949) 642-7882.

Dr Jack Chia Shea is licensed to practice in California (license number 11538TPL) 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 1174530877.

Contact Information

	Dr Jack Chia Shea, OD
	2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627
	(949) 642-7882
	(949) 642-7792

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Chia Shea
Gender	Male
Speciality	Optometrist
Location	2200 Harbor Blvd, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174530877
Provider Enumeration Date: 08/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395894885
Enrollment ID: I20090512000282

Medical Identifiers

Medical identifiers for Dr Jack Chia Shea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174530877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	11538TPL (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 Jack Chia Shea allows following entities to bill medicare on his behalf.

Provider Name	New Foundation Medical Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689023582 PECOS PAC ID: 3072893478 Enrollment ID: O20161130001798

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 Jack Chia Shea 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 Jack Chia Shea, OD 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 Ph: (949) 642-7882	Dr Jack Chia Shea, OD 2200 Harbor Blvd, Ste D130, Costa Mesa, CA 92627 Ph: (949) 642-7882

Reviews and Comments

Optometrist in Costa Mesa, CA

Dr. Benjamin J Szu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020
Dr. Kevin Michael Grant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Bear St, Costa Mesa, CA 92626 Phone: 714-557-2020
Trilogy Eye Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd, 220, Costa Mesa, CA 92627 Phone: 949-873-5046 Fax: 949-873-5394
Retina Institute Of California Medical Group, A California Medical Par Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 949-876-5046 Fax: 949-573-5394
Dr. Mimia Wen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2651 Irvine Ave Ste 120, Costa Mesa, CA 92627 Phone: 949-432-7894 Fax: 949-432-7880
My Linh Ton-nu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 220, Costa Mesa, CA 92627 Phone: 714-951-3297

Dr Jack Chia Shea, OD - Medicare Optometrist in Costa Mesa, CA