Renerick S Slack, OD in California, MD - Medicare Optometrist Provider

Renerick S Slack, OD is a medicare enrolled "Optometrist" provider in California, Maryland. His current practice location is 23105 Three Notch Rd Ste A, California, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 863-2020.

Renerick S Slack is licensed to practice in Maryland (license number TA2499) 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 1144453812.

Contact Information

	Renerick S Slack, OD
	23105 Three Notch Rd Ste A, California, MD 20619-2417
	(301) 863-2020
	(301) 863-2020

Map and Direction

Healthcare Provider's Profile

Full Name	Renerick S Slack
Gender	Male
Speciality	Optometrist
Location	23105 Three Notch Rd Ste A, California, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144453812
Provider Enumeration Date: 08/28/2009
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4385804343
Enrollment ID: I20120328000726

Medical Identifiers

Medical identifiers for Renerick S Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144453812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618001887 (Virginia)	Secondary
152W00000X	Optometrist	TA2499 (Maryland)	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. Renerick S Slack allows following entities to bill medicare on his behalf.

Provider Name	Lorton Optometry, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841355856 PECOS PAC ID: 7113013145 Enrollment ID: O20071022000484

Provider Name	Kings Crossing Optometry Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689919847 PECOS PAC ID: 3870739683 Enrollment ID: O20130424000465

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. Renerick S Slack 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
Renerick S Slack, OD 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899	Renerick S Slack, OD 23105 Three Notch Rd Ste A, California, MD 20619-2417 Ph: (301) 863-2020

Reviews and Comments

Optometrist in California, MD

Dr. Laice Lanette Jeffries, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23105 Three Notch Rd Ste A, California, MD 20619 Phone: 301-863-2020 Fax: 301-863-2417
Dr.david Heavner & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45155 First Colony Way, California, MD 20619 Phone: 301-862-4718 Fax: 301-862-3420
Grasee, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 23191 Three Notch Rd, California, MD 20619 Phone: 301-863-6080
Dr. Kasmani & Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 45155 First Colony Way, California, MD 20619 Phone: 801-862-4718
Michelle Koo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 45485 Miramar Way, California, MD 20619 Phone: 240-434-1907
Dr. Mark Lebar, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 23105 Three Notch Rd Ste A, California, MD 20619 Phone: 301-863-2020 Fax: 301-863-7885

Renerick S Slack, OD - Medicare Optometrist in California, MD