Gregory Paul Jellenek, OD is a medicare enrolled "Optometrist" provider in Ft. Eustis, Virginia. He went to Southern California College Of Optometry and graduated in 1986 and has 39 years of diverse experience with area of expertise as Optometry. His current practice location is
Bldg. 1527, Ft. Eustis, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 887-3627.
Gregory Paul Jellenek is licensed to practice in Virginia (license number 0618000342) 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 1679505226.
Healthcare Provider's Profile
| Full Name | Gregory Paul Jellenek |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 39 Years |
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| Location | Bldg. 1527, Ft. Eustis, Virginia |
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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:
- Gregory Paul Jellenek attended and graduated from Southern California College Of Optometry in 1986
NPI Data:
- NPI Number: 1679505226
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 05/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 2567493778
- Enrollment ID: I20110309000740
Medical Identifiers
Medical identifiers for Gregory Paul Jellenek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679505226 | NPI | - | NPPES |
| 010045711 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 0618000342 (Virginia) | 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. Gregory Paul Jellenek allows following entities to bill medicare on his behalf.
| Provider Name | Gregory P. Jellenek, Od & Associates, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144259250
PECOS PAC ID: 1557330990
Enrollment ID: O20041001000168 |
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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. Gregory Paul Jellenek 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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Gregory Paul Jellenek, OD
5251-18 John Tyler Hwy., #353,
Williamsburg, VA 23185-8808
Ph: (757) 963-1863 | Gregory Paul Jellenek, OD
Bldg. 1527,
Ft. Eustis, VA 23604-1618
Ph: (757) 887-3627 |
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