Dr Lisa Chabot, OD is a medicare enrolled "Optometrist" provider in Ferguson, Missouri. Her current practice location is
248 S Florissant Rd, Ferguson, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 522-8773.
Dr Lisa Chabot is licensed to practice in Missouri (license number T03129) 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 1083774699.
Healthcare Provider's Profile
| Full Name | Dr Lisa Chabot |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 248 S Florissant Rd, Ferguson, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1083774699
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 04/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123096062
- Enrollment ID: I20040920000392
Medical Identifiers
Medical identifiers for Dr Lisa Chabot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083774699 | NPI | - | NPPES |
| 316777663 | Medicaid | MO | |
| 181457 | Other | MO | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | T03129 (Missouri) | 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 Lisa Chabot allows following entities to bill medicare on her behalf.
| Provider Name | Seibert Mobile Optometry Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1679017362
PECOS PAC ID: 7517242746
Enrollment ID: O20170330000287 |
|---|
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 Lisa Chabot 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 Lisa Chabot, OD
248 S Florissant Rd,
Ferguson, MO 63135-2737
Ph: () - | Dr Lisa Chabot, OD
248 S Florissant Rd,
Ferguson, MO 63135-2736
Ph: (314) 522-8773 |
Reviews and Comments