Elijah Allan Jackson Bannister, OD in Longview, WA

Elijah Allan Jackson Bannister, OD is a medicare enrolled "Optometrist" provider in Longview, Washington. His current practice location is 820 Ocean Beach Hwy Ste 100, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 636-2020.

Elijah Allan Jackson Bannister is licensed to practice in Washington (license number OD61311755) 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 1558093591.

Contact Information

	Elijah Allan Jackson Bannister, OD
	820 Ocean Beach Hwy Ste 100, Longview, WA 98632-4081
	(360) 636-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elijah Allan Jackson Bannister
Gender	Male
Speciality	Optometrist
Location	820 Ocean Beach Hwy Ste 100, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558093591
Provider Enumeration Date: 06/28/2022
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1658747001
Enrollment ID: I20221026001582

Medical Identifiers

Medical identifiers for Elijah Allan Jackson Bannister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558093591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD61311755 (Washington)	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. Elijah Allan Jackson Bannister allows following entities to bill medicare on his behalf.

Provider Name	Longview Eye & Vision
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861535197 PECOS PAC ID: 5395639959 Enrollment ID: O20040212000863

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. Elijah Allan Jackson Bannister 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
Elijah Allan Jackson Bannister, OD Po Box 1939, Kalama, WA 98625-1700 Ph: (360) 560-5322	Elijah Allan Jackson Bannister, OD 820 Ocean Beach Hwy Ste 100, Longview, WA 98632-4081 Ph: (360) 636-2020

Reviews and Comments

Optometrist in Longview, WA

Ian Matthew Cheslock, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Michael D. Berger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Charles A Wardle Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1426 Commerce Ave, Longview, WA 98632 Phone: 360-423-7650 Fax: 360-423-2346
Kristi Kaylynn Poe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632 Phone: 360-636-2020 Fax: 360-425-0221
Cascade Eye Care Ps Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735
Jeffrey A Fries, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 877-213-2000
Paul Nefedov, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697

Elijah Allan Jackson Bannister, OD - Medicare Optometrist in Longview, WA