Kelly D Delange, OD in Fontana, CA - Medicare Optometrist Provider

Kelly D Delange, OD is a medicare enrolled "Optometrist" provider in Fontana, California. Her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-3910.

Kelly D Delange is licensed to practice in California (license number OPT10477T) 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 1285701029.

Contact Information

	Kelly D Delange, OD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly D Delange
Gender	Female
Speciality	Optometrist
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285701029
Provider Enumeration Date: 11/29/2006
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8921297607
Enrollment ID: I20110111000753

Medical Identifiers

Medical identifiers for Kelly D Delange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285701029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT10477T (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. Kelly D Delange allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kelly D Delange 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
Kelly D Delange, OD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Kelly D Delange, OD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Optometrist in Fontana, CA

Junyao Xu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8381 Juniper Ave Unit 100, Fontana, CA 92335 Phone: 909-428-2020
Tammy M Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Gary J Jacobson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Mai Nguyen, O.d., Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 15070 Summit Ave Ste 400, Fontana, CA 92336 Phone: 909-538-9246
Arlene Sarroca Arcega, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Matthew M. Enos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8190 Mango Ave, Fontana, CA 92335 Phone: 909-350-2020
Theprangsy Nantha, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Kelly D Delange, OD - Medicare Optometrist in Fontana, CA