Dr J Grady Elliott, OD | |
3111 Maplewood Ave, Suite 103, Winston Salem, NC 27103-3906 | |
(336) 765-8130 | |
(336) 765-6403 |
Full Name | Dr J Grady Elliott |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 3111 Maplewood Ave, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285774166 | NPI | - | NPPES |
0112W | Other | NC | BCBS |
0247000001 | Other | NC | PALMETTO GBA |
890908B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1456 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clark Optometric Center Pa | 6709911092 | 43 |
Provider Name | Clark Optometric Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588619217 PECOS PAC ID: 6709911092 Enrollment ID: O20100311000546 |
Mailing Address | Practice Location Address |
---|---|
Dr J Grady Elliott, OD 3111 Maplewood Ave, Suite 103, Winston Salem, NC 27103-3906 Ph: (336) 765-8130 | Dr J Grady Elliott, OD 3111 Maplewood Ave, Suite 103, Winston Salem, NC 27103-3906 Ph: (336) 765-8130 |
Dr. Gary Brent Cogdill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3320 Silas Creek Pkwy, Suite 280, Winston Salem, NC 27103 Phone: 336-765-3159 Fax: 336-659-0998 | |
Mr. Seth Jones, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Dr. Marium Warsi-zehri, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3316 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 535-033-6765 | |
Dr. Terry W Ellington, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2910 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-724-5000 | |
Dr. Terry L. Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8013 N Point Blvd, Winston Salem, NC 27106 Phone: 336-759-9706 | |
Hillcrest Vision, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Lisa N Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 235 Harvey St, Winston Salem, NC 27103 Phone: 336-842-0952 Fax: 336-793-3475 |