Dr Ibry Dell Engram, OD in Clayton, GA - Medicare Optometrist Provider

Dr Ibry Dell Engram, OD is a medicare enrolled "Optometrist" provider in Clayton, Georgia. His current practice location is 1455 Hwy 441 South, Clayton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 782-6961.

Dr Ibry Dell Engram is licensed to practice in Georgia (license number OPT000655) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942396452.

Contact Information

	Dr Ibry Dell Engram, OD
	1455 Hwy 441 South, Clayton, GA 30525
	(706) 782-6961
	(706) 782-6966

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ibry Dell Engram
Gender	Male
Speciality	Optometrist
Location	1455 Hwy 441 South, Clayton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942396452
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0446223531
Enrollment ID: I20040817000665

Medical Identifiers

Medical identifiers for Dr Ibry Dell Engram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942396452	NPI	-	NPPES
00057967A	Medicaid	GA
25977	Other		AVESIS
89093NT	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT000655 (Georgia)	Primary
152W00000X	Optometrist	1398 (South Carolina)	Secondary

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 Ibry Dell Engram 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 Ibry Dell Engram, OD P.o. 160, Fayetteville, GA 30214 Ph: (706) 782-6961	Dr Ibry Dell Engram, OD 1455 Hwy 441 South, Clayton, GA 30525 Ph: (706) 782-6961

Reviews and Comments

Optometrist in Clayton, GA

Dr. Alexa Reane Arencibia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 21 Legacy Point, Clayton, GA 30525 Phone: 706-782-3535
Clayton Family Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 50 Earl St., Suite A, Clayton, GA 30525 Phone: 706-782-3535 Fax: 706-782-7525
Dr. Stephen R Thurmond, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 50 Earl St, Suite A, Clayton, GA 30525 Phone: 706-782-3535 Fax: 706-782-7525

Dr Ibry Dell Engram, OD - Medicare Optometrist in Clayton, GA