Shane Theobald, OD - Medicare Optometrist in Chandler, AZ

Shane Theobald, OD is a medicare enrolled "Optometrist" provider in Chandler, Arizona. He went to Southern College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Cigna Healthcare Of Arizona Inc and his current practice location is 1717 W. Chandler Blvd, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 821-7565.

Shane Theobald is licensed to practice in Arizona (license number 1521) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760415947.

Contact Information

Shane Theobald, OD
1717 W. Chandler Blvd,
Chandler, AZ 85224
(480) 821-7565
(480) 821-4303



Healthcare Provider's Profile

Full NameShane Theobald
GenderMale
SpecialityOptometry
Experience18 Years
Location1717 W. Chandler Blvd, Chandler, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Theobald attended and graduated from Southern College Of Optometry in 2006
  NPI Data:
  • NPI Number: 1760415947
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 03/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6103839485
  • Enrollment ID: I20060803000481

Medical Identifiers

Medical identifiers for Shane Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760415947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1521 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cigna Healthcare Of Arizona Inc1456263573161

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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. Shane Theobald allows following entities to bill medicare on his behalf.
Provider NameCigna Healthcare Of Arizona Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043471873
PECOS PAC ID: 1456263573
Enrollment ID: O20031105000515

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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. Shane Theobald 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
Shane Theobald, OD
25500 N. Norterra Parkway, Bldg B,
Phoenix, AZ 85085

Ph: (623) 277-1000
Shane Theobald, OD
1717 W. Chandler Blvd,
Chandler, AZ 85224

Ph: (480) 821-7565

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Optometrist in Chandler, AZ

Dr. David Christensen, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2050 N Alma School Rd, Chandler, AZ 85224
Phone: 480-786-1075    Fax: 480-786-0476
James Sterenberg, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1717 W Chandler Blvd, Chandler, AZ 85224
Phone: 480-821-7565    
Dr. Nancy Nan-yin Liaw, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1815 E Queen Creek Rd, Ste. #2, Chandler, AZ 85286
Phone: 480-895-2020    Fax: 480-699-6724
Vision Edge Eye Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 7130 W Chandler Blvd Ste 19, Chandler, AZ 85226
Phone: 480-961-8999    Fax: 480-961-5009
Kristin Renee Cerni, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226
Phone: 480-518-1697    
Dr. Neal Weinstein, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226
Phone: 480-961-1865    Fax: 480-961-4605
Dr. David Palmieri, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226
Phone: 480-961-1865    Fax: 480-961-1865

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