Shane Benally, OD in Walla Walla, WA - Medicare Optometrist Provider

Shane Benally, OD is a medicare enrolled "Optometrist" provider in Walla Walla, Washington. His current practice location is 77 Wainwright Dr, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (901) 653-5701.

Shane Benally is licensed to practice in Idaho (license number ODP-100585) 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 1588387294.

Contact Information

	Shane Benally, OD
	77 Wainwright Dr, Walla Walla, WA 99362-3975
	(901) 653-5701
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Benally
Gender	Male
Speciality	Optometrist
Location	77 Wainwright Dr, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588387294
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7810341260
Enrollment ID: I20231004000022

Medical Identifiers

Medical identifiers for Shane Benally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588387294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ODP-100585 (Idaho)	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. Shane Benally allows following entities to bill medicare on his behalf.

Provider Name	Dhhs Phs Ihs Phoenix Area
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265719918 PECOS PAC ID: 2668647108 Enrollment ID: O20111212000142

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. Shane Benally 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
Shane Benally, OD 2210 Isaacs Ave Apt I-201, Walla Walla, WA 99362-2909 Ph: (901) 653-5701	Shane Benally, OD 77 Wainwright Dr, Walla Walla, WA 99362-3975 Ph: (901) 653-5701

Reviews and Comments

Optometrist in Walla Walla, WA

Dr. Eugene Wyn Cheung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 77 Wainwright Dr Bldg 140, Walla Walla, WA 99362 Phone: 509-525-5200
Emily Rose Freeman, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200
Angela Dee Ferguson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22 W Main St, Walla Walla, WA 99362 Phone: 509-529-2020 Fax: 509-529-2115
Jennifer Danielle Melsness, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Wainwright Memorial Va Medical Center Eye Clinic 123, Walla Walla, WA 99362 Phone: 509-527-3491 Fax: 509-526-6202
Dr. Tara Elizabeth Evanger-dalke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1610 Penny Ln, Walla Walla, WA 99362 Phone: 509-540-3937 Fax: 509-540-3938
Dr. Harry Walter Wiessner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 614 E Alder St, Suite #1, Walla Walla, WA 99362 Phone: 509-527-3937 Fax: 509-529-4750
Dennis Rocke Poffenroth, OD Optometrist Medicare: Medicare Enrolled Practice Location: 22 W Main St, Walla Walla, WA 99362 Phone: 509-529-2020 Fax: 509-529-2115

Shane Benally, OD - Medicare Optometrist in Walla Walla, WA