Jeremy Edgerly, Od, Llc is a medicare enrolled "Optometrist" provider in Mountain Brook, Alabama. Their current practice location is
921 Jemison Lane, Mountain Brook, Alabama. You can reach out to their office (for appointments etc.) via phone at
(205) 341-9595.
Jeremy Edgerly, Od, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jeremy Edgerly, Od, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1679290332.
Healthcare Provider's Profile
| Full Name | Jeremy Edgerly, Od, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 921 Jemison Lane, Mountain Brook, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679290332
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012387509
- Enrollment ID: O20221227001488
Medical Identifiers
Medical identifiers for Jeremy Edgerly, Od, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679290332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jeremy Edgerly, Od, Llc acts as a billing entity for following providers:
| Provider Name | Jeremy D Edgerly |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1003177296
PECOS PAC ID: 4880838390
Enrollment ID: I20130924000569 |
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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. Jeremy Edgerly, Od, Llc 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 |
|---|
Jeremy Edgerly, Od, Llc
3504 Branch Mill Rd,
Mountain Brk, AL 35223-1608
Ph: (205) 341-9595 | Jeremy Edgerly, Od, Llc
921 Jemison Lane,
Mountain Brook, AL 35223
Ph: (205) 341-9595 |
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