Andrena Niles Woodhams, OD in Atlanta, GA - Medicare Optometry Provider

Andrena Niles Woodhams, OD is a medicare enrolled "Optometrist" provider in Atlanta, Georgia. She went to Southern College Of Optometry and graduated in 2013 and has 12 years of diverse experience with area of expertise as Optometry. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (901) 728-5858.

Andrena Niles Woodhams is licensed to practice in Georgia (license number OPT002809) 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 1326485327.

Contact Information

	Andrena Niles Woodhams, OD
	20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328-3473
	(901) 728-5858
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrena Niles Woodhams
Gender	Female
Speciality	Optometry
Experience	12 Years
Location	20 Glenlake Pkwy, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrena Niles Woodhams attended and graduated from Southern College Of Optometry in 2013

NPI Data:

NPI Number: 1326485327
Provider Enumeration Date: 05/30/2013
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1658513288
Enrollment ID: I20150226001867

Medical Identifiers

Medical identifiers for Andrena Niles Woodhams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326485327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3127 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
152W00000X	Optometrist	OPT002809 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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. Andrena Niles Woodhams allows following entities to bill medicare on her behalf.

Provider Name	The Southeast Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Andrena Niles Woodhams 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
Andrena Niles Woodhams, OD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Andrena Niles Woodhams, OD 20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328-3473 Ph: (901) 728-5858

Reviews and Comments

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Andrena Niles Woodhams, OD - Medicare Optometrist in Atlanta, GA