Jesse Michael Willingham, OD in Summerville, SC

Jesse Michael Willingham, OD is a medicare enrolled "Optometrist" provider in Summerville, South Carolina. He went to University Of Missouri St Louis - School Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. He is a member of the group practice The Vision Center At Seaside Farms and his current practice location is 717 Old Trolley Rd Ste 3, Summerville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 873-1889.

Jesse Michael Willingham is licensed to practice in South Carolina (license number OPT.2201) 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 1588157291.

Contact Information

	Jesse Michael Willingham, OD
	717 Old Trolley Rd Ste 3, Summerville, SC 29485-5287
	(843) 873-1889
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Michael Willingham
Gender	Male
Speciality	Optometry
Experience	6 Years
Location	717 Old Trolley Rd Ste 3, Summerville, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jesse Michael Willingham attended and graduated from University Of Missouri St Louis - School Of Optometry in 2018

NPI Data:

NPI Number: 1588157291
Provider Enumeration Date: 06/08/2018
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2062761125
Enrollment ID: I20200826000371

Medical Identifiers

Medical identifiers for Jesse Michael Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588157291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV008748 (New York)	Secondary
152W00000X	Optometrist	OPT.2201 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Vision Center At Seaside Farms	2163576927	3

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. Jesse Michael Willingham allows following entities to bill medicare on his behalf.

Provider Name	The Vision Center At Seaside Farms
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710111588 PECOS PAC ID: 2163576927 Enrollment ID: O20090813000670

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. Jesse Michael Willingham 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
Jesse Michael Willingham, OD 1816 Success St Ste 101, North Charleston, SC 29405-7851 Ph: (843) 203-0200	Jesse Michael Willingham, OD 717 Old Trolley Rd Ste 3, Summerville, SC 29485-5287 Ph: (843) 873-1889

Reviews and Comments

Optometrist in Summerville, SC

Lowcountry Pediatric Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 89 Old Trolley Rd Ste 201, Summerville, SC 29485 Phone: 843-419-8600
David W Bang, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9880 Dorchester Rd, Summerville, SC 29485 Phone: 843-851-0280 Fax: 843-851-9726
William Justin Dungan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 717 Trolley Rd Ste 3, Summerville, SC 29485 Phone: 843-873-1889
Dr. Kristian Andre Mostert, OD Optometrist Medicare: Medicare Enrolled Practice Location: 717 Old Trolley Rd Ste 4, Summerville, SC 29485 Phone: 843-873-1889 Fax: 843-873-1663
Summerville Pediatric Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 133 E 1st North St, Summerville, SC 29483 Phone: 843-771-5100
Dr. Denis R Holmes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9770 Dorchester Rd Unit 101, Summerville, SC 29485 Phone: 843-767-2328
Special Care Vision Of Sc, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 717 Trolley Road, Summerville, SC 29485 Phone: 502-244-2441 Fax: 502-254-4086

Jesse Michael Willingham, OD - Medicare Optometrist in Summerville, SC