Lucille Hester Brongersma, OD in Santa Rosa, CA - Medicare Optometrist Provider

Lucille Hester Brongersma, OD is a medicare enrolled "Optometrist" provider in Santa Rosa, California. Her current practice location is 3925 Old Redwood Hwy, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 566-5297.

Lucille Hester Brongersma is licensed to practice in California (license number 8200T) 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 1033266218.

Contact Information

	Lucille Hester Brongersma, OD
	3925 Old Redwood Hwy, Santa Rosa, CA 95403-1719
	(707) 566-5297
	Not Available

Healthcare Provider's Profile

Full Name	Lucille Hester Brongersma
Gender	Female
Speciality	Optometrist
Location	3925 Old Redwood Hwy, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033266218
Provider Enumeration Date: 01/03/2007
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0749430510
Enrollment ID: I20121101000556

Medical Identifiers

Medical identifiers for Lucille Hester Brongersma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033266218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8200T (California)	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. Lucille Hester Brongersma allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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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. Lucille Hester Brongersma 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
Lucille Hester Brongersma, OD 4844 Glencannon St, Santa Rosa, CA 95405-7912 Ph: (707) 538-2482	Lucille Hester Brongersma, OD 3925 Old Redwood Hwy, Santa Rosa, CA 95403-1719 Ph: (707) 566-5297

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Optometrist in Santa Rosa, CA

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Earle Baum Center Of The Blind Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 4539 Occidental Rd, Santa Rosa, CA 95401 Phone: 707-523-3222 Fax: 707-636-2768
Eos Eyecare Optometric Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 Phone: 707-542-8883 Fax: 707-546-7787
Sterling Visioncare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2320 Midway Dr, Santa Rosa, CA 95405 Phone: 707-526-2020 Fax: 707-526-2032
Dr. Shipley & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1430 Guerneville Rd, Santa Rosa, CA 95403 Phone: 707-525-9920 Fax: 707-525-0844

Lucille Hester Brongersma, OD - Medicare Optometrist in Santa Rosa, CA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

GE Healthcare reaches agreement to acquire Applied Precision

Adequate recovery sleep duration important for coping with effects of chronic sleep restriction on the brain

HemaQuest initiates HQK-1001 Phase 2 study in sickle cell disease

FGFR1 amplification heralds poor prognosis in SCCL

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

GE Healthcare reaches agreement to acquire Applied Precision

Adequate recovery sleep duration important for coping with effects of chronic sleep restriction on the brain

HemaQuest initiates HQK-1001 Phase 2 study in sickle cell disease

FGFR1 amplification heralds poor prognosis in SCCL

Optometrist in Santa Rosa, CA