Jacqueline Rose Smith, - Medicare Optometrist in Waltham, MA

Jacqueline Rose Smith, is a medicare enrolled "Optometrist" provider in Waltham, Massachusetts. Her current practice location is 289 Moody St, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 894-2127.

Jacqueline Rose Smith is licensed to practice in Massachusetts (license number 5620) 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 1508558024.

Contact Information

Jacqueline Rose Smith,
289 Moody St,
Waltham, MA 02453-5284
(781) 894-2127
Not Available



Healthcare Provider's Profile

Full NameJacqueline Rose Smith
GenderFemale
SpecialityOptometrist
Location289 Moody St, Waltham, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508558024
  • Provider Enumeration Date: 05/23/2023
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779945670
  • Enrollment ID: I20230809001724

Medical Identifiers

Medical identifiers for Jacqueline Rose Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508558024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 5620 (Massachusetts)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. Jacqueline Rose Smith allows following entities to bill medicare on her behalf.
Provider NameEjc Eyecare Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235368275
PECOS PAC ID: 6901952134
Enrollment ID: O20090914000266

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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. Jacqueline Rose Smith 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 AddressPractice Location Address
Jacqueline Rose Smith,
22 Sunnyhill Rd,
Lunenburg, MA 01462-1331

Ph: (978) 870-2770
Jacqueline Rose Smith,
289 Moody St,
Waltham, MA 02453-5284

Ph: (781) 894-2127

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Optometrist in Waltham, MA

Dr. Arthur Bababekov, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 66 Seyon Street, Waltham, MA 02453
Phone: 781-891-0136    Fax: 508-484-2008
Grigor Martirosyan, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 45 Albert St, Waltham, MA 02453
Phone: 617-386-9471    
Dr. Michael K Edelstein, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 446 Moody St, Waltham, MA 02453
Phone: 781-899-3200    Fax: 781-894-4645
Lynette K. Johns, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Trapelo Rd Ste 184, Waltham, MA 02451
Phone: 781-890-1023    
Jake Duclos Fiore, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 289 Moody St, Waltham, MA 02453
Phone: 781-894-2127    
Lee David Lerner, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 381 Moody St, Waltham, MA 02453
Phone: 781-894-1094    Fax: 781-894-0210
Qiaomei Cheng,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 57 Matthew Ln, Waltham, MA 02452
Phone: 617-721-1938    Fax: 617-964-3201

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