Janet Ilidan, in Jbsa Lackland, TX - Medicare Optometrist Provider

Janet Ilidan, is a medicare enrolled "Optometrist" provider in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-6255.

Janet Ilidan is licensed to practice in Colorado (license number 0003050) 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 1831599539.

Contact Information

	Janet Ilidan,
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
	(210) 292-6255
	(210) 292-7934

Map and Direction

Healthcare Provider's Profile

Full Name	Janet Ilidan
Gender	Female
Speciality	Optometrist
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831599539
Provider Enumeration Date: 08/29/2014
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 4587903976
Enrollment ID: I20190301000956

Medical Identifiers

Medical identifiers for Janet Ilidan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831599539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0003050 (Colorado)	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. Janet Ilidan allows following entities to bill medicare on her behalf.

Provider Name	Lawton Indian Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301

Provider Name	Anadarko Indian Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881637403 PECOS PAC ID: 7719931559 Enrollment ID: O20050304000365

Provider Name	Carnegie Indian Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457459158 PECOS PAC ID: 1456456144 Enrollment ID: O20071217000184

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. Janet Ilidan 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
Janet Ilidan, 13200 Circle N Dr E, Helotes, TX 78023-4102 Ph: (940) 337-0104	Janet Ilidan, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255

Reviews and Comments

Optometrist in Jbsa Lackland, TX

Dr. Lisa Leader Kohler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-2385
Daniel K Gullekson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1055
Dr. Paul B Brown, OD, MS, FAAO Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-5638
Dr. Ethan C Woodbury, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934
Dr. Diego L Vega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4233 Fax: 210-292-2313
Matt Sin Valdes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 433 Aerospace Medicine Sq, Jbsa Lackland, TX 78236 Phone: 210-925-7850
Roxana Carol Gomez, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934

Janet Ilidan, - Medicare Optometrist in Jbsa Lackland, TX