R Alex Mancilla Od Pc is a medicare enrolled "Optometrist" provider in Imperial, California. Their current practice location is
435 W Aten Rd Ste 3, Imperial, California. You can reach out to their office (for appointments etc.) via phone at
(619) 370-7315.
R Alex Mancilla Od Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. R Alex Mancilla Od Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750169017.
Healthcare Provider's Profile
| Full Name | R Alex Mancilla Od Pc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 435 W Aten Rd Ste 3, Imperial, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750169017
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183064629
- Enrollment ID: O20240430004194
Medical Identifiers
Medical identifiers for R Alex Mancilla Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750169017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
R Alex Mancilla Od Pc acts as a billing entity for following providers:
| Provider Name | Raul Alex Mancilla |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1487706198
PECOS PAC ID: 6608047857
Enrollment ID: I20240430004275 |
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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. R Alex Mancilla Od Pc 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 |
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R Alex Mancilla Od Pc
435 W Aten Rd Ste 3,
Imperial, CA 92251-9819
Ph: (619) 370-7315 | R Alex Mancilla Od Pc
435 W Aten Rd Ste 3,
Imperial, CA 92251-9819
Ph: (619) 370-7315 |
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