Mr Jesse Jacob Fertig, OD in Kew Gardens, NY - Medicare Optometrist Provider

Mr Jesse Jacob Fertig, OD is a medicare enrolled "Optometrist" provider in Kew Gardens, New York. His current practice location is 12430 Queens Blvd, Kew Gardens, New York. You can reach out to his office (for appointments etc.) via phone at (718) 261-2344.

Mr Jesse Jacob Fertig is licensed to practice in New York (license number TUV007355) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366557738.

Contact Information

	Mr Jesse Jacob Fertig, OD
	12430 Queens Blvd, Kew Gardens, NY 11415-1501
	(718) 261-2344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jesse Jacob Fertig
Gender	Male
Speciality	Optometrist
Location	12430 Queens Blvd, Kew Gardens, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366557738
Provider Enumeration Date: 08/19/2006
Last Update Date: 03/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9739087164
Enrollment ID: I20091029000175

Medical Identifiers

Medical identifiers for Mr Jesse Jacob Fertig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366557738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3702-35 (Wisconsin)	Secondary
152W00000X	Optometrist	346002045 (Illinois)	Secondary
152W00000X	Optometrist	TPOP68 (Florida)	Secondary
152W00000X	Optometrist	105426 (Iowa)	Secondary
152W00000X	Optometrist	0618002935 (Virginia)	Secondary
152W00000X	Optometrist	TUV007355 (New York)	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. Mr Jesse Jacob Fertig allows following entities to bill medicare on his behalf.

Provider Name	Lens Express Optical, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942444914 PECOS PAC ID: 6507903283 Enrollment ID: O20091029000161

Provider Name	North Shore - Lij Medical Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mr Jesse Jacob Fertig 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
Mr Jesse Jacob Fertig, OD 12430 Queens Blvd, Kew Gardens, NY 11415-1501 Ph: (718) 261-2344	Mr Jesse Jacob Fertig, OD 12430 Queens Blvd, Kew Gardens, NY 11415-1501 Ph: (718) 261-2344

Reviews and Comments

Optometrist in Kew Gardens, NY

Mirage Optica Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8113 Lefferts Blvd, Kew Gardens, NY 11415 Phone: 718-849-0847 Fax: 718-849-0864
Stephen Dong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8002 Kew Gardens Rd, Suite C-108, Kew Gardens, NY 11415 Phone: 718-544-2222
Eyedeal Optometry, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8374 Talbot St, Apt 5e, Kew Gardens, NY 11415 Phone: 321-438-3500
Metro-optica Eyewear, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11827 Metropolitan Ave, Kew Gardens, NY 11415 Phone: 718-850-0050 Fax: 718-850-0056
Jennifer Chin Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 8002 Kew Gardens Rd Ste C108, Kew Gardens, NY 11415 Phone: 718-544-2222 Fax: 718-544-7350
Dr. Jennifer Chin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8002 Kew Gardens Rd Ste C108, Kew Gardens, NY 11415 Phone: 718-544-2222

Mr Jesse Jacob Fertig, OD - Medicare Optometrist in Kew Gardens, NY