Dr Yeseul Lim, OD is a medicare enrolled "Optometrist" provider in Hewitt, Texas. Her current practice location is
502 N Hewitt Dr, Hewitt, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 666-2292.
Dr Yeseul Lim is licensed to practice in Texas (license number 9952TG) 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 1841883212.
Healthcare Provider's Profile
| Full Name | Dr Yeseul Lim |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 502 N Hewitt Dr, Hewitt, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841883212
- Provider Enumeration Date: 02/17/2021
- Last Update Date: 06/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496161531
- Enrollment ID: I20210315002431
Medical Identifiers
Medical identifiers for Dr Yeseul Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841883212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 9952TG (Texas) | 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 Yeseul Lim allows following entities to bill medicare on her behalf.
| Provider Name | Lake Ridge Vision Center Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285807404
PECOS PAC ID: 8628144938
Enrollment ID: O20080911000195 |
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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 Yeseul Lim 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 Yeseul Lim, OD
12444 Dillingham Sq,
Woodbridge, VA 22192-5258
Ph: (703) 680-4323 | Dr Yeseul Lim, OD
502 N Hewitt Dr,
Hewitt, TX 76643-3038
Ph: (254) 666-2292 |
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