Mimi Anh Saysomphane, OD in Artesia, CA - Medicare Optometrist Provider

Mimi Anh Saysomphane, OD is a medicare enrolled "Optometrist" provider in Artesia, California. Her current practice location is 17801 Pioneer Blvd Ste F, Artesia, California. You can reach out to her office (for appointments etc.) via phone at (714) 642-5260.

Mimi Anh Saysomphane is licensed to practice in California (license number 34135TLG) 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 1295201390.

Contact Information

	Mimi Anh Saysomphane, OD
	17801 Pioneer Blvd Ste F, Artesia, CA 90701-3962
	(714) 642-5260
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mimi Anh Saysomphane
Gender	Female
Speciality	Optometrist
Location	17801 Pioneer Blvd Ste F, Artesia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295201390
Provider Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018

Medicare PECOS Information:

PECOS PAC ID: 4789094715
Enrollment ID: I20201103001967

Medical Identifiers

Medical identifiers for Mimi Anh Saysomphane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295201390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34135TLG (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. Mimi Anh Saysomphane allows following entities to bill medicare on her behalf.

Provider Name	Dr. Michael S. Chang O.d. Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952573982 PECOS PAC ID: 0345325973 Enrollment ID: O20080306000701

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. Mimi Anh Saysomphane 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
Mimi Anh Saysomphane, OD 13361 Partridge St, Garden Grove, CA 92843-3016 Ph: (714) 642-5260	Mimi Anh Saysomphane, OD 17801 Pioneer Blvd Ste F, Artesia, CA 90701-3962 Ph: (714) 642-5260

Reviews and Comments

Optometrist in Artesia, CA

Dr. Ken Imoto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184
Bryan Imoto O.d. Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717 Fax: 562-865-5184
Richard Ly, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Artesia, CA 90701 Phone: 562-467-0813
Dr. Michael S Chang, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17801 Pioneer Blvd, Suite F, Artesia, CA 90701 Phone: 562-467-0813 Fax: 562-467-0816
Artesia I Care Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11436 Artesia Blvd Ste D, Artesia, CA 90701 Phone: 562-860-1717
Dr. Bryan Takanori Imoto, BRYAN IMOTO O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11436 Artesia Blvd, Suite D, Artesia, CA 90701 Phone: 562-860-1717

Mimi Anh Saysomphane, OD - Medicare Optometrist in Artesia, CA