Ms Jessica Polak, OD in Brea, CA - Medicare Optometrist Provider

Ms Jessica Polak, OD is a medicare enrolled "Optometrist" provider in Brea, California. Her current practice location is 2500 E Imperial Hwy Ste 196, Brea, California. You can reach out to her office (for appointments etc.) via phone at (657) 439-5750.

Ms Jessica Polak is licensed to practice in California (license number 35309) 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 1962124016.

Contact Information

	Ms Jessica Polak, OD
	2500 E Imperial Hwy Ste 196, Brea, CA 92821-6121
	(657) 439-5750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Polak
Gender	Female
Speciality	Optometrist
Location	2500 E Imperial Hwy Ste 196, Brea, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962124016
Provider Enumeration Date: 09/15/2022
Last Update Date: 09/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5890158703
Enrollment ID: I20230824004053

Medical Identifiers

Medical identifiers for Ms Jessica Polak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962124016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	35309 (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. Ms Jessica Polak allows following entities to bill medicare on her behalf.

Provider Name	Hansra Optometric Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679262158 PECOS PAC ID: 2163881913 Enrollment ID: O20230711003128

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. Ms Jessica Polak 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
Ms Jessica Polak, OD 2500 E Imperial Hwy Ste 196, Brea, CA 92821-6121 Ph: (657) 439-5750	Ms Jessica Polak, OD 2500 E Imperial Hwy Ste 196, Brea, CA 92821-6121 Ph: (657) 439-5750

Reviews and Comments

Optometrist in Brea, CA

Visioncare Of California Optometrist Medicare: Not Enrolled in Medicare Practice Location: 605 E Imperial Hwy, C, Brea, CA 92821 Phone: 714-257-1660
Brea Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 W Lambert Rd, Suite A, Brea, CA 92821 Phone: 714-671-2020
Mnt Optometric, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2049 Brea Mall, Brea, CA 92821 Phone: 714-990-9311 Fax: 714-990-2633
Dr. Julianne Dalton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2063 Brea Mall, Brea, CA 92821 Phone: 714-674-5035 Fax: 714-674-5044
Eye View Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 605 E. Imperial Hwy, Suite C, Brea, CA 92821 Phone: 714-257-1660 Fax: 714-257-1662
Dr. Isabell Hyejin Choi-siritaratiwat, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 428 S Brea Blvd, Brea, CA 92821 Phone: 714-529-2470 Fax: 866-801-4739
Dr. Mark John Piekarski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 255 E Imperial Hwy, Suite D1, Brea, CA 92821 Phone: 714-990-2782 Fax: 714-256-0620

Ms Jessica Polak, OD - Medicare Optometrist in Brea, CA