Mr Larry L Waggoner, DOCTOR OF OPTOMETRY - Medicare Optometrist in Lake Isabella, CA

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Mr Larry L Waggoner, DOCTOR OF OPTOMETRY is a medicare enrolled "Optometrist" provider in Lake Isabella, California. His current practice location is 12134 Mt Mesa Rd, Lake Isabella, California. You can reach out to his office (for appointments etc.) via phone at (760) 379-3602.

Mr Larry L Waggoner is licensed to practice in California (license number 6133T) 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 1710065727.

Contact Information

Mr Larry L Waggoner, DOCTOR OF OPTOMETRY
12134 Mt Mesa Rd,
Lake Isabella, CA 93240
(760) 379-3602
(760) 379-2232

Map and Direction




Healthcare Provider's Profile

Full NameMr Larry L Waggoner
GenderMale
SpecialityOptometrist
Location12134 Mt Mesa Rd, Lake Isabella, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710065727
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 08/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0042407975
  • Enrollment ID: I20110110000579

Medical Identifiers

Medical identifiers for Mr Larry L Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710065727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 6133T (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. Mr Larry L Waggoner allows following entities to bill medicare on his behalf.
Provider NameGolden State Eye Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205847746
PECOS PAC ID: 5890742852
Enrollment ID: O20050401000770

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 Larry L Waggoner 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
Mr Larry L Waggoner, DOCTOR OF OPTOMETRY
12134 Mt Mesa Rd,
Lake Isabella, CA 93240

Ph: (760) 379-3602		Mr Larry L Waggoner, DOCTOR OF OPTOMETRY
12134 Mt Mesa Rd,
Lake Isabella, CA 93240

Ph: (760) 379-3602

Reviews and Comments


Optometrist in Lake Isabella, CA

Larry E Waggoner O D Prof Corp
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 12134 Mount Mesa Rd, Lake Isabella, CA 93240
Phone: 760-379-3602    Fax: 760-379-2232

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.