Richard E. Fry, Od, Pa is a medicare enrolled "Optometrist" provider in Beulaville, North Carolina. Their current practice location is
110 S Thomas St, Beulaville, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(910) 298-3001.
Richard E. Fry, Od, Pa is licensed to practice in North Carolina (license number 1189) and it also participates in the medicare program. Richard E. Fry, Od, Pa
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 1336412790.
Healthcare Provider's Profile
| Full Name | Richard E. Fry, Od, Pa |
|---|
| Type | Facility |
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| Speciality | Optometrist |
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| Location | 110 S Thomas St, Beulaville, North Carolina |
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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: 1336412790
- Provider Enumeration Date: 02/15/2012
- Last Update Date: 04/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 4789843558
- Enrollment ID: O20120314000452
Medical Identifiers
Medical identifiers for Richard E. Fry, Od, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336412790 | NPI | - | NPPES |
| 09296 | Other | NC | BLUE CROSS AND BLUE SHIELD |
| 8909296 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1189 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Richard E. Fry, Od, Pa acts as a billing entity for following providers:
| Provider Name | Richard Edward Fry |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1720135882
PECOS PAC ID: 8729252192
Enrollment ID: I20111121000541 |
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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. Richard E. Fry, Od, Pa 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 |
|---|
Richard E. Fry, Od, Pa
110 S Thomas St,
Beulaville, NC 28518-8810
Ph: (910) 298-3001 | Richard E. Fry, Od, Pa
110 S Thomas St,
Beulaville, NC 28518-8810
Ph: (910) 298-3001 |
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