Dr Bernetta Winfred Davis-poole, OD in Baltimore, MD

Dr Bernetta Winfred Davis-poole, OD is a medicare enrolled "Optometrist" provider in Baltimore, Maryland. Her current practice location is 1804 West North Avenue, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 523-1224.

Dr Bernetta Winfred Davis-poole is licensed to practice in Maryland (license number TA0696) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588756217.

Contact Information

	Dr Bernetta Winfred Davis-poole, OD
	1804 West North Avenue, Baltimore, MD 21217
	(410) 523-1224
	(410) 747-6563

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bernetta Winfred Davis-poole
Gender	Female
Speciality	Optometrist
Location	1804 West North Avenue, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588756217
Provider Enumeration Date: 09/29/2006
Last Update Date: 08/15/2016

Medicare PECOS Information:

PECOS PAC ID: 8123175866
Enrollment ID: I20090415000088

Medical Identifiers

Medical identifiers for Dr Bernetta Winfred Davis-poole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588756217	NPI	-	NPPES
790418504	Medicaid	MD
790418501	Medicaid	MD
P00870154	Other		MEDICARE PROVIDER #
3325172 00	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TA0696 (Maryland)	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. Dr Bernetta Winfred Davis-poole allows following entities to bill medicare on her behalf.

Provider Name	Dr Bernetta Davis Od Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942570874 PECOS PAC ID: 0345405627 Enrollment ID: O20120712000269

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. Dr Bernetta Winfred Davis-poole 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
Dr Bernetta Winfred Davis-poole, OD 1804 West North Avenue, Baltimore, MD 21217 Ph: (410) 523-1224	Dr Bernetta Winfred Davis-poole, OD 1804 West North Avenue, Baltimore, MD 21217 Ph: (410) 523-1224

Reviews and Comments

Optometrist in Baltimore, MD

Salma Kiani, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 2925 Lord Baltimore Dr, Suite 300, Baltimore, MD 21244 Phone: 410-277-3937 Fax: 410-281-9388
Deanne Leonard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3506 Ellamont Rd, Baltimore, MD 21215 Phone: 443-802-9920
Federal Hill Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1029 Light St, Baltimore, MD 21230 Phone: 410-752-8208 Fax: 410-752-7144
Dr. Paul Nenner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5006 Sinclair Ln, Baltimore, MD 21206 Phone: 410-488-6800 Fax: 410-488-4270
Dr. Colin Kane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Wilmer 233, Baltimore, MD 21287 Phone: 410-955-8679 Fax: 410-614-9240
Shoshana Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd, Suite 225, Baltimore, MD 21208 Phone: 410-653-0200 Fax: 410-653-3667
Jeanette Bonsack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-9441

Dr Bernetta Winfred Davis-poole, OD - Medicare Optometrist in Baltimore, MD