Dr Elick Jan Combs Iii, OD is a medicare enrolled "Optometrist" provider in Powell, Tennessee. He went to Southern College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Campbell Cunningham Taylor Pc and his current practice location is
221 E Emory Rd Ste 103, Powell, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 584-0905.
Dr Elick Jan Combs Iii is licensed to practice in Tennessee (license number 3594) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205459377.
Healthcare Provider's Profile
| Full Name | Dr Elick Jan Combs Iii |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 221 E Emory Rd Ste 103, Powell, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Elick Jan Combs Iii attended and graduated from Southern College Of Optometry in 2020
NPI Data:
- NPI Number: 1205459377
- Provider Enumeration Date: 05/25/2020
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981026663
- Enrollment ID: I20200625002292
Medical Identifiers
Medical identifiers for Dr Elick Jan Combs Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205459377 | NPI | - | NPPES |
| Q057803 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3594 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Campbell Cunningham Taylor Pc | 0244216562 | 17 |
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 Elick Jan Combs Iii allows following entities to bill medicare on his behalf.
| Provider Name | Campbell Cunningham Taylor Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407850944
PECOS PAC ID: 0244216562
Enrollment ID: O20040628000593 |
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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. Dr Elick Jan Combs Iii 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 |
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Dr Elick Jan Combs Iii, OD
1124 E Weisgarber Rd Ste 100,
Knoxville, TN 37909-2686
Ph: (865) 584-0905 | Dr Elick Jan Combs Iii, OD
221 E Emory Rd Ste 103,
Powell, TN 37849-4061
Ph: (865) 584-0905 |
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