Dr Pauline F Ilsen, OD in Los Angeles, CA - Medicare Optometrist Provider

Dr Pauline F Ilsen, OD is a medicare enrolled "Optometrist" provider in Los Angeles, California. Her current practice location is 11301 Wilshire Blvd, West La Veterans Affairs Healthcare Ctr B 304 Rm 2-111, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 478-3711.

Dr Pauline F Ilsen is licensed to practice in California (license number 8974T) 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 1003849712.

Contact Information

	Dr Pauline F Ilsen, OD
	11301 Wilshire Blvd, West La Veterans Affairs Healthcare Ctr B 304 Rm 2-111, Los Angeles, CA 90073-1003
	(310) 478-3711
	(310) 268-3780

Healthcare Provider's Profile

Full Name	Dr Pauline F Ilsen
Gender	Female
Speciality	Optometrist
Location	11301 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003849712
Provider Enumeration Date: 07/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941449532
Enrollment ID: I20130611000503

Medical Identifiers

Medical identifiers for Dr Pauline F Ilsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003849712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8974T (California)	Primary
152W00000X	Optometrist	1513 (Colorado)	Secondary
152W00000X	Optometrist	2001T (Oregon)	Secondary
152W00000X	Optometrist	2211 (Tennessee)	Secondary
152W00000X	Optometrist	2068 (Washington)	Secondary

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. Dr Pauline F Ilsen 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
Dr Pauline F Ilsen, OD 11301 Wilshire Blvd, West La Veterans Affairs Healthcare Ctr B 304 Rm 2-111, Los Angeles, CA 90073-1003 Ph: (310) 478-3711	Dr Pauline F Ilsen, OD 11301 Wilshire Blvd, West La Veterans Affairs Healthcare Ctr B 304 Rm 2-111, Los Angeles, CA 90073-1003 Ph: (310) 478-3711

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Dr Pauline F Ilsen, OD - Medicare Optometrist in Los Angeles, CA