Dr Tara Vacharkulksemsuk, OD in Lake Elsinore, CA

Dr Tara Vacharkulksemsuk, OD is a medicare enrolled "Optometrist" provider in Lake Elsinore, California. Her current practice location is 32245 Mission Trl Ste D4, Lake Elsinore, California. You can reach out to her office (for appointments etc.) via phone at (951) 674-1561.

Dr Tara Vacharkulksemsuk is licensed to practice in California (license number 13949) 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 1588977938.

Contact Information

	Dr Tara Vacharkulksemsuk, OD
	32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528
	(951) 674-1561
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tara Vacharkulksemsuk
Gender	Female
Speciality	Optometrist
Location	32245 Mission Trl Ste D4, Lake Elsinore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588977938
Provider Enumeration Date: 07/14/2010
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8729263629
Enrollment ID: I20110419000351

Medical Identifiers

Medical identifiers for Dr Tara Vacharkulksemsuk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588977938	NPI	-	NPPES
112409104	Medicaid	TX
283028301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13949 (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 Tara Vacharkulksemsuk allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Tara Vacharkulksemsuk 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 Tara Vacharkulksemsuk, OD 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528 Ph: () -	Dr Tara Vacharkulksemsuk, OD 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528 Ph: (951) 674-1561

Reviews and Comments

Optometrist in Lake Elsinore, CA

Michelle Cruz Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25321 Railroad Canyon Rd Ste 503, Lake Elsinore, CA 92532 Phone: 951-244-1122
Robert J Joyce Od Apc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 32245 Mission Trl, Suite D4, Lake Elsinore, CA 92530 Phone: 951-674-1561 Fax: 951-674-5300
Dr. Stephen Gerard Schroeder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 Phone: 951-244-1122 Fax: 951-244-2777
Dr. Robert Joseph Joyce, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 32245 Mission Trl, Ste D4, Lake Elsinore, CA 92530 Phone: 951-674-1561 Fax: 951-674-5300
Vu Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18285 Collier Ave Ste 1f, Lake Elsinore, CA 92530 Phone: 951-674-5057 Fax: 951-674-4392
Quynh T Vu, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18285 Collier Ave Ste 1f, Lake Elsinore, CA 92530 Phone: 951-674-5057

Dr Tara Vacharkulksemsuk, OD - Medicare Optometrist in Lake Elsinore, CA