Dr Jean Catherine Church, OD is a medicare enrolled "Optometrist" provider in Piedmont, California. She went to Pennsylvania College Of Optometry and graduated in 1997 and has 28 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Greenbriar Vision Center, Inc and her current practice location is
545 Boulevard Way, Piedmont, California. You can reach out to her office (for appointments etc.) via phone at
(510) 387-6787.
Dr Jean Catherine Church is licensed to practice in California (license number 11677T) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730405606.
Healthcare Provider's Profile
| Full Name | Dr Jean Catherine Church |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 28 Years |
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| Location | 545 Boulevard Way, Piedmont, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jean Catherine Church attended and graduated from Pennsylvania College Of Optometry in 1997
NPI Data:
- NPI Number: 1730405606
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 04/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 9032395025
- Enrollment ID: I20180926003348
Medical Identifiers
Medical identifiers for Dr Jean Catherine Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730405606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 11677T (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greenbriar Vision Center, Inc | 1153504014 | 3 |
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 Jean Catherine Church allows following entities to bill medicare on her behalf.
| Provider Name | Greenbriar Vision Center, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609165653
PECOS PAC ID: 1153504014
Enrollment ID: O20111020000239 |
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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. Dr Jean Catherine Church 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 |
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Dr Jean Catherine Church, OD
545 Boulevard Way,
Piedmont, CA 94610-1524
Ph: (510) 387-6787 | Dr Jean Catherine Church, OD
545 Boulevard Way,
Piedmont, CA 94610-1524
Ph: (510) 387-6787 |
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