Coosa Eye Associates, P.c. is a medicare enrolled "Optometrist" provider in Childersburg, Alabama. Their current practice location is
34011 Us Highway 280, Childersburg, Alabama. You can reach out to their office (for appointments etc.) via phone at
(256) 378-5507.
Coosa Eye Associates, P.c. is licensed to practice in Alabama (license number S-471-TA-079) and it also participates in the medicare program. Coosa Eye Associates, P.c.
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 1053488544.
Healthcare Provider's Profile
| Full Name | Coosa Eye Associates, P.c. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 34011 Us Highway 280, Childersburg, Alabama |
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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: 1053488544
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 3971775503
- Enrollment ID: O20111004000421
Medical Identifiers
Medical identifiers for Coosa Eye Associates, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053488544 | NPI | - | NPPES |
| 510-59662 | Other | AL | BLUE CROSS |
| 000059662 | Medicaid | AL | |
| 102G703418 | Other | AL | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | S-471-TA-079 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coosa Eye Associates, P.c. acts as a billing entity for following providers:
| Provider Name | P Duncan Roy |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1508936014
PECOS PAC ID: 1951573591
Enrollment ID: I20111026000324 |
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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. Coosa Eye Associates, P.c. 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 |
|---|
Coosa Eye Associates, P.c.
Po Box J,
Childersburg, AL 35044-0510
Ph: (256) 378-5507 | Coosa Eye Associates, P.c.
34011 Us Highway 280,
Childersburg, AL 35044-2128
Ph: (256) 378-5507 |
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