Christenbury Eye Center P.a. is a medicare enrolled "Ophthalmology" provider in Charlotte, North Carolina. Their current practice location is
3621 Randolph Rd, Suite 100, Charlotte, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(704) 332-9365.
Christenbury Eye Center P.a. is licensed to practice in North Carolina (license number 57056) and it also participates in the medicare program. Christenbury Eye Center P.a.
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 1801851704.
Healthcare Provider's Profile
| Full Name | Christenbury Eye Center P.a. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 3621 Randolph Rd, Charlotte, North 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: 1801851704
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 10/03/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739080052
- Enrollment ID: O20040119000477
Medical Identifiers
Medical identifiers for Christenbury Eye Center P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801851704 | NPI | - | NPPES |
| 0286V | Other | NC | BCBS/NC |
| 7085246 | Other | NC | AETNA |
| 890286V | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 57056 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | 57056 (North 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.
Christenbury Eye Center P.a. acts as a billing entity for following providers:
| Provider Name | Kenneth C Mathys |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1154534477
PECOS PAC ID: 8729157128
Enrollment ID: I20090706000172 |
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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. Christenbury Eye Center P.a. 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 |
|---|
Christenbury Eye Center P.a.
3621 Randolph Rd, Suite 100,
Charlotte, NC 28211-1317
Ph: (704) 332-9365 | Christenbury Eye Center P.a.
3621 Randolph Rd, Suite 100,
Charlotte, NC 28211-1317
Ph: (704) 332-9365 |
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