Marissa Brooke Wall, OD in Modesto, CA - Medicare Optometry Provider

Marissa Brooke Wall, OD is a medicare enrolled "Optometrist" provider in Modesto, California. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Sylvan Eye Associates An Optometric Corporation and her current practice location is 1011 Sylvan Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 575-2020.

Marissa Brooke Wall is licensed to practice in California (license number OPT34197) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265915615.

Contact Information

	Marissa Brooke Wall, OD
	1011 Sylvan Ave, Modesto, CA 95350-1692
	(209) 575-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Brooke Wall
Gender	Female
Speciality	Optometry
Experience	6 Years
Location	1011 Sylvan Ave, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marissa Brooke Wall graduated from medical school in 2018

NPI Data:

NPI Number: 1265915615
Provider Enumeration Date: 09/12/2018
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0143569012
Enrollment ID: I20211027003477

Medical Identifiers

Medical identifiers for Marissa Brooke Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265915615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT34197 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sylvan Eye Associates An Optometric Corporation	5193700920	5

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. Marissa Brooke Wall allows following entities to bill medicare on her behalf.

Provider Name	Sylvan Eye Associates An Optometric Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740279207 PECOS PAC ID: 5193700920 Enrollment ID: O20040623001646

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. Marissa Brooke Wall 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
Marissa Brooke Wall, OD 1011 Sylvan Ave, Modesto, CA 95350-1692 Ph: (209) 575-2020	Marissa Brooke Wall, OD 1011 Sylvan Ave, Modesto, CA 95350-1692 Ph: (209) 575-2020

Reviews and Comments

Optometrist in Modesto, CA

Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy, Modesto, CA 95350 Phone: 209-702-6240
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842
Stanley Michael Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685
Mark Harder Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685

Marissa Brooke Wall, OD - Medicare Optometrist in Modesto, CA