Jessica Dawn Hisako Flack, OD in Richfield, MN - Medicare Optometrist Provider

Jessica Dawn Hisako Flack, OD is a medicare enrolled "Optometrist" provider in Richfield, Minnesota. Her current practice location is 6500 Penn Ave S, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 798-1720.

Jessica Dawn Hisako Flack is licensed to practice in Minnesota (license number 3716) 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 1801563994.

Contact Information

	Jessica Dawn Hisako Flack, OD
	6500 Penn Ave S, Richfield, MN 55423-1143
	(612) 798-1720
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Dawn Hisako Flack
Gender	Female
Speciality	Optometrist
Location	6500 Penn Ave S, Richfield, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801563994
Provider Enumeration Date: 08/25/2021
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 3476903998
Enrollment ID: I20231226001490

Medical Identifiers

Medical identifiers for Jessica Dawn Hisako Flack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801563994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3716 (Minnesota)	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. Jessica Dawn Hisako Flack allows following entities to bill medicare on her behalf.

Provider Name	Visionworks Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881962173 PECOS PAC ID: 4385639616 Enrollment ID: O20120409000416

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. Jessica Dawn Hisako Flack 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
Jessica Dawn Hisako Flack, OD 8400 Bass Lake Rd Apt 111, New Hope, MN 55428-5311 Ph: (403) 630-5705	Jessica Dawn Hisako Flack, OD 6500 Penn Ave S, Richfield, MN 55423-1143 Ph: (612) 798-1720

Reviews and Comments

Optometrist in Richfield, MN

Benjamin Dean Brenner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 300, Richfield, MN 55423 Phone: 612-243-8999 Fax: 612-869-3473
In House Senior Services, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473
Dr. Raluca Otilia Sima, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 300, Richfield, MN 55423 Phone: 612-243-8999
Dr. Christopher Bakouris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6500 Penn Ave S, Richfield, MN 55423 Phone: 612-798-1720
Susan Hemann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6601 Lyndale Ave S Ste 160, Richfield, MN 55423 Phone: 612-869-1333
Downtown Eyes Crosstown Optometrist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423 Phone: 612-869-1333 Fax: 612-869-2333
Deneen Marie Zaetta, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-243-8999

Jessica Dawn Hisako Flack, OD - Medicare Optometrist in Richfield, MN