Miss Marlene R San Nicolas, OD - Medicare Optometrist in Tamuning, GU

Miss Marlene R San Nicolas, OD is a medicare enrolled "Optometrist" provider in Tamuning, Guam. She went to Pacific University - College Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Takecare Insurance Company Inc and her current practice location is 415 Chalan San Antonio, Suite 111-113, Tamuning, Guam. You can reach out to her office (for appointments etc.) via phone at (671) 648-3350.

Miss Marlene R San Nicolas is licensed to practice in Guam (license number OL027) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154381515.

Contact Information

Miss Marlene R San Nicolas, OD
415 Chalan San Antonio, Suite 111-113,
Tamuning, GU 96913-3620
(671) 648-3350
(671) 647-3546



Healthcare Provider's Profile

Full NameMiss Marlene R San Nicolas
GenderFemale
SpecialityOptometry
Experience32 Years
Location415 Chalan San Antonio, Tamuning, Guam
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Marlene R San Nicolas attended and graduated from Pacific University - College Of Optometry in 1992
  NPI Data:
  • NPI Number: 1154381515
  • Provider Enumeration Date: 03/28/2006
  • Last Update Date: 02/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4082603923
  • Enrollment ID: I20040507000097

Medical Identifiers

Medical identifiers for Miss Marlene R San Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154381515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OL027 (Guam)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Takecare Insurance Company Inc832595123924

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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. Miss Marlene R San Nicolas allows following entities to bill medicare on her behalf.
Provider NameTakecare Insurance Company Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972565240
PECOS PAC ID: 8325951239
Enrollment ID: O20140918000062

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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. Miss Marlene R San Nicolas 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
Miss Marlene R San Nicolas, OD
Po Box 6578,
Tamuning, GU 96931-6578

Ph: (671) 648-3350
Miss Marlene R San Nicolas, OD
415 Chalan San Antonio, Suite 111-113,
Tamuning, GU 96913-3620

Ph: (671) 648-3350

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Optometrist in Tamuning, GU

Dr. John Junghyun Kim, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    Fax: 671-646-1292
Mr. Joel Mendoza Dizon, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913
Phone: 671-646-5825    Fax: 671-647-3556
Cuong Ngoc Huynh, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 761 S Marine Corps Dr, 2020 Vision Center Cen Tam Bldg Ste A1, Tamuning, GU 96913
Phone: 671-646-3001    Fax: 671-649-3001
Mr. Jay Joseph Mcdonald, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913
Phone: 671-646-5824    Fax: 671-647-3546
Dr. Jeannette F Storey, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    Fax: 671-648-5557
Dr. Julian C Archer, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1234 N Marine Corps Dr Ste 202, Tamuning, GU 96913
Phone: 671-989-4747    Fax: 671-989-4743

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