Paul Nefedov, in Longview, WA - Medicare Optometry Provider

Paul Nefedov, is a medicare enrolled "Optometrist" provider in Longview, Washington. He went to Pacific University - College Of Optometry and graduated in 2017 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Pacific University, University Professional Services, University Professional Services and his current practice location is 600 Triangle Ctr Ste 400, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 423-0220.

Paul Nefedov is licensed to practice in Oregon (license number ATI4325) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487017075.

Contact Information

	Paul Nefedov,
	600 Triangle Ctr Ste 400, Longview, WA 98632-4667
	(360) 423-0220
	(360) 423-0697

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Nefedov
Gender	Male
Speciality	Optometry
Experience	9 Years
Location	600 Triangle Ctr Ste 400, Longview, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Nefedov attended and graduated from Pacific University - College Of Optometry in 2017

NPI Data:

NPI Number: 1487017075
Provider Enumeration Date: 03/31/2016
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5496027450
Enrollment ID: I20200820002081

Medical Identifiers

Medical identifiers for Paul Nefedov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487017075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	33688 (California)	Secondary
152W00000X	Optometrist	OD60997195 (Washington)	Secondary
152W00000X	Optometrist	ATI4325 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pacific University	0345144705	26
University Professional Services	4880760107	1609
University Professional Services	4880760107	1609

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. Paul Nefedov allows following entities to bill medicare on his behalf.

Provider Name	Pacific University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306954011 PECOS PAC ID: 0345144705 Enrollment ID: O20031126000350

Provider Name	University Professional Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Paul Nefedov 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
Paul Nefedov, 600 Triangle Ctr Ste 400, Longview, WA 98632-4667 Ph: (360) 423-0220	Paul Nefedov, 600 Triangle Ctr Ste 400, Longview, WA 98632-4667 Ph: (360) 423-0220

Reviews and Comments

Optometrist in Longview, WA

Ian Matthew Cheslock, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Michael D. Berger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Charles A Wardle Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1426 Commerce Ave, Longview, WA 98632 Phone: 360-423-7650 Fax: 360-423-2346
Zhilin Huang, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 503-636-6238
Kristi Kaylynn Poe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632 Phone: 360-636-2020 Fax: 360-425-0221
Cascade Eye Care Ps Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Jeffrey A Fries, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 877-213-2000

Paul Nefedov, - Medicare Optometrist in Longview, WA