James Larry Pritchett, OD is a medicare enrolled "Optometrist" provider in Camilla, Georgia. His current practice location is
162 E Broad St, Camilla, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 336-8991.
James Larry Pritchett is licensed to practice in Georgia (license number OPT000689) 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 1407941883.
Healthcare Provider's Profile
| Full Name | James Larry Pritchett |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 162 E Broad St, Camilla, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407941883
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/16/2009
Medicare PECOS Information:
- PECOS PAC ID: 8729038807
- Enrollment ID: I20050126000732
Medical Identifiers
Medical identifiers for James Larry Pritchett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407941883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT000689 (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. James Larry Pritchett allows following entities to bill medicare on his behalf.
| Provider Name | Jumpstart Fitness Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194948034
PECOS PAC ID: 6901871508
Enrollment ID: O20040827000499 |
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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. James Larry Pritchett 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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James Larry Pritchett, OD
279 Pearson Dr Sw,
Dawson, GA 39842-1914
Ph: (229) 995-2920 | James Larry Pritchett, OD
162 E Broad St,
Camilla, GA 31730-1841
Ph: (229) 336-8991 |
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