Poole Eyecare Pa is a medicare enrolled "Optometrist" provider in Clover, South Carolina. Their current practice location is
121 Bethel St, Clover, South Carolina. You can reach out to their office (for appointments etc.) via phone at
(803) 222-9538.
Poole Eyecare Pa is licensed to practice in South Carolina (license number SC728) and it also participates in the medicare program. Poole Eyecare Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699733501.
Healthcare Provider's Profile
| Full Name | Poole Eyecare Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 121 Bethel St, Clover, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699733501
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729135603
- Enrollment ID: O20120413000290
Medical Identifiers
Medical identifiers for Poole Eyecare Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699733501 | NPI | - | NPPES |
| D07286 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | SC728 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Poole Eyecare Pa acts as a billing entity for following providers:
| Provider Name | Benjamin C Poole |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871550897
PECOS PAC ID: 9032134374
Enrollment ID: I20120413000321 |
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| Provider Name | Zachary Poole |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1790246585
PECOS PAC ID: 7416283387
Enrollment ID: I20240418000306 |
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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. Poole Eyecare Pa 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 |
|---|
Poole Eyecare Pa
121 Bethel St,
Clover, SC 29710-1101
Ph: (803) 222-9538 | Poole Eyecare Pa
121 Bethel St,
Clover, SC 29710-1101
Ph: (803) 222-9538 |
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