Dr Jacob Shahidi, OD in Santa Cruz, CA - Medicare Optometrist Provider

Dr Jacob Shahidi, OD is a medicare enrolled "Optometrist" provider in Santa Cruz, California. His current practice location is 904 Cedar St, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 426-1050.

Dr Jacob Shahidi is licensed to practice in California (license number 35336) 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 1336865526.

Contact Information

	Dr Jacob Shahidi, OD
	904 Cedar St, Santa Cruz, CA 95060-3802
	(831) 426-1050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Shahidi
Gender	Male
Speciality	Optometrist
Location	904 Cedar St, Santa Cruz, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336865526
Provider Enumeration Date: 10/18/2022
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5799154167
Enrollment ID: I20221206002451

Medical Identifiers

Medical identifiers for Dr Jacob Shahidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336865526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	35336 (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 Jacob Shahidi allows following entities to bill medicare on his behalf.

Provider Name	Total Vision Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356813711 PECOS PAC ID: 9234472242 Enrollment ID: O20190515000216

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 Jacob Shahidi 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 Jacob Shahidi, OD 1091 Big Sur Dr, San Jose, CA 95120-3415 Ph: (408) 466-0822	Dr Jacob Shahidi, OD 904 Cedar St, Santa Cruz, CA 95060-3802 Ph: (831) 426-1050

Reviews and Comments

Optometrist in Santa Cruz, CA

Stephanie Krok, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1101 Pacific Ave, Suite E, Santa Cruz, CA 95060 Phone: 831-466-3937 Fax: 831-466-3421
Dr. Amy Jean Orseth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5640
Dr. Orkida Solomon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1665 Dominican Way, Suite 124, Santa Cruz, CA 95065 Phone: 831-476-6943 Fax: 831-476-1473
Dr. Michaela Melissa Chavez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5640
Dr. Francis Kuo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 346 Union St, Ste. 1, Santa Cruz, CA 95060 Phone: 831-460-9717
Niyo Ramaniklal Kachalia, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 904 Cedar Street, Santa Cruz, CA 95060 Phone: 831-426-1050 Fax: 831-423-1050
Anna Lisa Regan-gardner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 904 Cedar St, Santa Cruz, CA 95060 Phone: 831-426-1050

Dr Jacob Shahidi, OD - Medicare Optometrist in Santa Cruz, CA