Samantha Carrie Elliott, OD in Fort Benning, GA - Medicare Optometrist Provider

Samantha Carrie Elliott, OD is a medicare enrolled "Optometrist" provider in Fort Benning, Georgia. Her current practice location is 9220 Marne Rd, Fort Benning, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 682-3938.

Samantha Carrie Elliott is licensed to practice in Georgia (license number OPT003182) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861045916.

Contact Information

	Samantha Carrie Elliott, OD
	9220 Marne Rd, Fort Benning, GA 31905-5515
	(706) 682-3938
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Carrie Elliott
Gender	Female
Speciality	Optometrist
Location	9220 Marne Rd, Fort Benning, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861045916
Provider Enumeration Date: 07/18/2019
Last Update Date: 02/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5799107884
Enrollment ID: I20200618000777

Medical Identifiers

Medical identifiers for Samantha Carrie Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861045916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT003182 (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. Samantha Carrie Elliott allows following entities to bill medicare on her behalf.

Provider Name	Gulf Coast Optometry Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20100621000231

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. Samantha Carrie Elliott 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
Samantha Carrie Elliott, OD 1725 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6507 Ph: (239) 800-1717	Samantha Carrie Elliott, OD 9220 Marne Rd, Fort Benning, GA 31905-5515 Ph: (706) 682-3938

Reviews and Comments

Optometrist in Fort Benning, GA

Dr. Stephen K Schlegel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: Bmach, 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-1217
Optometry Clinic, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 9220 Marne Rd, Fort Benning, GA 31905 Phone: 706-682-3938 Fax: 706-682-3931
Dr. Smitesh Jay Patel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9220 Marne Rd, Fort Benning, GA 31905 Phone: 706-682-3938
Rebecca M Atkinson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-3507
Dr. Shawn Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2273
Mrs. Helen B Hadley, OD. Optometrist Medicare: Medicare Enrolled Practice Location: Martin Army Community Hospital, Eent-optometry, Fort Benning, GA 31905 Phone: 706-544-3648

Samantha Carrie Elliott, OD - Medicare Optometrist in Fort Benning, GA