Jenna Louise Gongola, OD in Elkins, WV - Medicare Optometry Provider

Jenna Louise Gongola, OD is a medicare enrolled "Optometrist" provider in Elkins, West Virginia. She went to Southern College Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Randolph County Eye Care Center Pc and her current practice location is Rt 250 219 Chenoweth Creek Rd, Elkins, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 636-3887.

Jenna Louise Gongola is licensed to practice in West Virginia (license number 93800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194810242.

Contact Information

	Jenna Louise Gongola, OD
	Rt 250 219 Chenoweth Creek Rd, Elkins, WV 26241
	(304) 636-3887
	(304) 636-0538

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Louise Gongola
Gender	Female
Speciality	Optometry
Experience	29 Years
Location	Rt 250 219 Chenoweth Creek Rd, Elkins, West Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenna Louise Gongola attended and graduated from Southern College Of Optometry in 1995

NPI Data:

NPI Number: 1194810242
Provider Enumeration Date: 10/04/2006
Last Update Date: 03/09/2010

Medicare PECOS Information:

PECOS PAC ID: 3072534429
Enrollment ID: I20110128000015

Medical Identifiers

Medical identifiers for Jenna Louise Gongola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194810242	NPI	-	NPPES
0149877000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	93800 (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Randolph County Eye Care Center Pc	7517988959	2

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. Jenna Louise Gongola allows following entities to bill medicare on her behalf.

Provider Name	Randolph County Eye Care Center Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780779835 PECOS PAC ID: 7517988959 Enrollment ID: O20051213000415

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. Jenna Louise Gongola 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
Jenna Louise Gongola, OD Po Box 1489, Elkins, WV 26241 Ph: (304) 636-3887	Jenna Louise Gongola, OD Rt 250 219 Chenoweth Creek Rd, Elkins, WV 26241 Ph: (304) 636-3887

Reviews and Comments

Optometrist in Elkins, WV

Joseph L Trupo Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911
Hunt Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 181-2, Elkins, WV 26241 Phone: 248-528-1981
Eye Works Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911
Kevin Robert Lambert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Chenoweth Creek Rd, Elkins, WV 26241 Phone: 304-636-3887
Joseph L Trupo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911
Dr. Sheena H Hunt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911

Jenna Louise Gongola, OD - Medicare Optometrist in Elkins, WV