Julie Ann Wagstaff, OD - Medicare Optometrist in San Jose, CA

Julie Ann Wagstaff, OD is a medicare enrolled "Optometrist" provider in San Jose, California. Her current practice location is 2200 Eastridge Loop, Eastridge Mall Ste 1078, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 270-6161.

Julie Ann Wagstaff is licensed to practice in California (license number 11444) 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 1124179908.

Contact Information

Julie Ann Wagstaff, OD
2200 Eastridge Loop, Eastridge Mall Ste 1078,
San Jose, CA 95122-1410
(408) 270-6161
(408) 270-6176

Map and Direction




Healthcare Provider's Profile

Full NameJulie Ann Wagstaff
GenderFemale
SpecialityOptometrist
Location2200 Eastridge Loop, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124179908
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9931092525
  • Enrollment ID: I20040206000268

Medical Identifiers

Medical identifiers for Julie Ann Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124179908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 11444 (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. Julie Ann Wagstaff allows following entities to bill medicare on her behalf.
Provider NameSonoma Eyeworks An Optometric Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1891330171
PECOS PAC ID: 4082043963
Enrollment ID: O20200327000599

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. Julie Ann Wagstaff 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 AddressPractice Location Address
Julie Ann Wagstaff, OD
961 Spencer Ave,
San Jose, CA 95125-1672

Ph: (408) 947-1193
Julie Ann Wagstaff, OD
2200 Eastridge Loop, Eastridge Mall Ste 1078,
San Jose, CA 95122-1410

Ph: (408) 270-6161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.