Coastal Eyes Of The Outer Banks Pllc is a medicare enrolled "Optometrist" provider in Nags Head, North Carolina. Their current practice location is
112 W Wood Hill Dr, Nags Head, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(252) 489-5829.
Coastal Eyes Of The Outer Banks Pllc is licensed to practice in North Carolina (license number 2015-00049) and it also participates in the medicare program. Coastal Eyes Of The Outer Banks Pllc
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 1508309188.
Healthcare Provider's Profile
| Full Name | Coastal Eyes Of The Outer Banks Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 112 W Wood Hill Dr, Nags Head, 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: 1508309188
- Provider Enumeration Date: 11/30/2016
- Last Update Date: 04/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375826506
- Enrollment ID: O20170213001784
Medical Identifiers
Medical identifiers for Coastal Eyes Of The Outer Banks Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508309188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2015-00049 (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.
Coastal Eyes Of The Outer Banks Pllc acts as a billing entity for following providers:
| Provider Name | Amos Johns Willis |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1528062015
PECOS PAC ID: 7214063551
Enrollment ID: I20170213001862 |
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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. Coastal Eyes Of The Outer Banks Pllc 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 |
|---|
Coastal Eyes Of The Outer Banks Pllc
112 W Wood Hill Dr # 328,
Nags Head, NC 27959-9394
Ph: (252) 489-5829 | Coastal Eyes Of The Outer Banks Pllc
112 W Wood Hill Dr,
Nags Head, NC 27959-9394
Ph: (252) 489-5829 |
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