Edward Theodore Washington Jr, is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Norcross, Georgia. He went to Morehouse School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
4045 Wetherburn Way Ste 1, Norcross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 285-7910.
Edward Theodore Washington Jr is licensed to practice in Georgia (license number 91739) 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 1104211283.
Physician's Profile
Full Name | Edward Theodore Washington Jr |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 9 Years |
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Location | 4045 Wetherburn Way Ste 1, Norcross, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edward Theodore Washington Jr attended and graduated from Morehouse School Of Medicine in 2015
NPI Data:
- NPI Number: 1104211283
- Provider Enumeration Date: 04/05/2015
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789970369
- Enrollment ID: I20220802001847
Medical Identifiers
Medical identifiers for Edward Theodore Washington Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104211283 | NPI | - | NPPES |
300039071 | Medicaid | IN | |
7100669250 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 312393 (Louisiana) | Secondary |
207W00000X | Ophthalmology | 57027483 (Ohio) | Secondary |
207W00000X | Ophthalmology | TP126 (Kentucky) | Secondary |
207WX0009X | Ophthalmology - Glaucoma Specialist | 91739 (Georgia) | 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. Edward Theodore Washington Jr allows following entities to bill medicare on his behalf.
Entity Name | Marietta Eye Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255333175 PECOS PAC ID: 0143210427 Enrollment ID: O20040518000057 |
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Entity Name | Peachtree Ophthalmology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285328849 PECOS PAC ID: 0143683748 Enrollment ID: O20230830001413 |
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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. Edward Theodore Washington Jr 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 |
Edward Theodore Washington Jr, 4045 Wetherburn Way Ste 1, Norcross, GA 30092-4611 Ph: (770) 285-7010 | Edward Theodore Washington Jr, 4045 Wetherburn Way Ste 1, Norcross, GA 30092-4611 Ph: (770) 285-7910 |
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