Dr Elizabeth Imade Sobanjo, OD in Stone Mountain, GA

Dr Elizabeth Imade Sobanjo, OD is a medicare enrolled "Optometrist" provider in Stone Mountain, Georgia. Her current practice location is 1525 E Park Place Blvd, Suite 1800, Stone Mountain, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 498-3434.

Dr Elizabeth Imade Sobanjo is licensed to practice in Georgia (license number 1538) 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 1548313851.

Contact Information

	Dr Elizabeth Imade Sobanjo, OD
	1525 E Park Place Blvd, Suite 1800, Stone Mountain, GA 30087-3453
	(770) 498-3434
	(770) 498-3440

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elizabeth Imade Sobanjo
Gender	Female
Speciality	Optometrist
Location	1525 E Park Place Blvd, Stone Mountain, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548313851
Provider Enumeration Date: 01/19/2007
Last Update Date: 04/26/2016

Medicare PECOS Information:

PECOS PAC ID: 7719169101
Enrollment ID: I20110307000243

Medical Identifiers

Medical identifiers for Dr Elizabeth Imade Sobanjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548313851	NPI	-	NPPES
000900413A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1538 (Georgia)	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 Elizabeth Imade Sobanjo allows following entities to bill medicare on her behalf.

Provider Name	Stone Mountain Eye Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528228616 PECOS PAC ID: 1850524182 Enrollment ID: O20140512001312

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 Elizabeth Imade Sobanjo 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 Elizabeth Imade Sobanjo, OD 1525 E Park Place Blvd, Suite 1800, Stone Mountain, GA 30087-3453 Ph: (770) 498-3434	Dr Elizabeth Imade Sobanjo, OD 1525 E Park Place Blvd, Suite 1800, Stone Mountain, GA 30087-3453 Ph: (770) 498-3434

Reviews and Comments

Optometrist in Stone Mountain, GA

Thomas Eye Group Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5244 Memorial Dr Ste 1101, Stone Mountain, GA 30083 Phone: 678-892-2020
Dr. Kofi Oteng Gyang, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1525 E Park Place Blvd, #1100,, Stone Mountain, GA 30087 Phone: 770-498-3434
Dr. Robin Mcghee, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1825 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-4111 Fax: 770-938-9913
Jennifer Mai, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5370 Stone Mountain Hwy, Stone Mountain, GA 30087 Phone: 770-688-1280
Digital Vision Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr Ste 201, Stone Mountain, GA 30083 Phone: 678-335-6130 Fax: 678-335-6336
Dr. Keith P Thompson, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5582 Memorial Dr Ste 200, Stone Mountain, GA 30083 Phone: 404-513-9965
Dr. Sharon Kelly Ellis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5370 Stone Mountain Hwy, Suite 700, Stone Mountain, GA 30087 Phone: 770-879-1961 Fax: 770-879-9872

Dr Elizabeth Imade Sobanjo, OD - Medicare Optometrist in Stone Mountain, GA