Jesse Richard Wang, OD in Palo Alto, CA - Medicare Optometrist Provider

Jesse Richard Wang, OD is a medicare enrolled "Optometrist" provider in Palo Alto, California. His current practice location is 3801 Miranda Ave, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (206) 890-5076.

Jesse Richard Wang is licensed to practice in California (license number 35781) 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 1669218913.

Contact Information

	Jesse Richard Wang, OD
	3801 Miranda Ave, Palo Alto, CA 94304-1290
	(206) 890-5076
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Richard Wang
Gender	Male
Speciality	Optometrist
Location	3801 Miranda Ave, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669218913
Provider Enumeration Date: 07/06/2024
Last Update Date: 07/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5092245480
Enrollment ID: I20250214001423

Medical Identifiers

Medical identifiers for Jesse Richard Wang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669218913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	35781 (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. Jesse Richard Wang allows following entities to bill medicare on his behalf.

Provider Name	Lucy Wun Od Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740629294 PECOS PAC ID: 1254561681 Enrollment ID: O20140305000790

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. Jesse Richard Wang 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
Jesse Richard Wang, OD 4217 170th Pl Sw, Lynnwood, WA 98037-3128 Ph: (206) 890-5076	Jesse Richard Wang, OD 3801 Miranda Ave, Palo Alto, CA 94304-1290 Ph: (206) 890-5076

Reviews and Comments

Optometrist in Palo Alto, CA

Pareet Raju, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2307 Birch St, Palo Alto, CA 94306 Phone: 650-323-6772
Dr. Dan Alan Baggett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 S California Ave, Palo Alto, CA 94306 Phone: 650-617-2020 Fax: 650-617-4550
Heather Elizabeth Jonasson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Wbrc 124, Palo Alto, CA 94304 Phone: 650-493-5000
Dr. Adrienne Dawn Lee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 231 Hamilton Ave, Palo Alto, CA 94301 Phone: 650-326-1649
Eyes Of The Avenue, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 479 University Ave, Palo Alto, CA 94301 Phone: 650-327-2020 Fax: 650-327-2039
Xiao Xiao, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2750 Middlefield Rd, Palo Alto, CA 94306 Phone: 650-321-3382 Fax: 650-321-3383
Dr. Connie Minah Woo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000

Jesse Richard Wang, OD - Medicare Optometrist in Palo Alto, CA