Dr Lysle Shaw-mcminn, OD in Sun City, CA - Medicare Optometrist Provider

Dr Lysle Shaw-mcminn, OD is a medicare enrolled "Optometrist" provider in Sun City, California. His current practice location is 27830 Bradley Rd, Sun City, California. You can reach out to his office (for appointments etc.) via phone at (951) 672-4971.

Dr Lysle Shaw-mcminn is licensed to practice in California (license number 15133) 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 1720481641.

Contact Information

	Dr Lysle Shaw-mcminn, OD
	27830 Bradley Rd, Sun City, CA 92586-2201
	(951) 672-4971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lysle Shaw-mcminn
Gender	Male
Speciality	Optometrist
Location	27830 Bradley Rd, Sun City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720481641
Provider Enumeration Date: 10/06/2014
Last Update Date: 10/06/2014

Medicare PECOS Information:

PECOS PAC ID: 1355649112
Enrollment ID: I20160411001588

Medical Identifiers

Medical identifiers for Dr Lysle Shaw-mcminn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720481641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	15133 (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 Lysle Shaw-mcminn allows following entities to bill medicare on his behalf.

Provider Name	Sun City Vision Clinic Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952774788 PECOS PAC ID: 0446558209 Enrollment ID: O20160411001551

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 Lysle Shaw-mcminn 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 Lysle Shaw-mcminn, OD 27830 Bradley Rd, Sun City, CA 92586-2201 Ph: (951) 672-4971	Dr Lysle Shaw-mcminn, OD 27830 Bradley Rd, Sun City, CA 92586-2201 Ph: (951) 672-4971

Reviews and Comments

Optometrist in Sun City, CA

Peter G Shaw- Mc Minn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083
Sandy Hanna, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971
John S. Hersh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083
Dr. Eric Matthew Fennema, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 29950 Haun Rd, Suite 206, Sun City, CA 92586 Phone: 951-679-0545 Fax: 951-679-6154
Michael K. Kobayashi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971 Fax: 951-672-4083
Jaehoon Lee Menifee Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27830 Bradley Rd, Sun City, CA 92586 Phone: 951-672-4971

Dr Lysle Shaw-mcminn, OD - Medicare Optometrist in Sun City, CA