Waynesborough Ophthalmology, P.a. is a medicare enrolled "Ophthalmology" provider in Goldsboro, North Carolina. Their current practice location is
103 Cox Blvd, Goldsboro, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(919) 734-8440.
Waynesborough Ophthalmology, P.a. is licensed to practice in North Carolina (license number 25961) and it also participates in the medicare program. Waynesborough Ophthalmology, P.a.
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 1124083167.
Healthcare Provider's Profile
| Full Name | Waynesborough Ophthalmology, P.a. |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 103 Cox Blvd, Goldsboro, 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: 1124083167
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 05/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103961438
- Enrollment ID: O20100310000943
Medical Identifiers
Medical identifiers for Waynesborough Ophthalmology, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124083167 | NPI | - | NPPES |
| 890287A | Medicaid | NC | |
| 0287A | Other | NC | BCBS OF NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1019 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | 25961 (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.
Waynesborough Ophthalmology, P.a. acts as a billing entity for following providers:
| Provider Name | David A Chesnutt |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1538171061
PECOS PAC ID: 0345266854
Enrollment ID: I20070730000216 |
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| Provider Name | Jennifer F Jordan |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1083059497
PECOS PAC ID: 6305087701
Enrollment ID: I20170907001465 |
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| Provider Name | Tate Grant Saurey |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1932661162
PECOS PAC ID: 9739413816
Enrollment ID: I20230907004369 |
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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. Waynesborough Ophthalmology, P.a. 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 |
|---|
Waynesborough Ophthalmology, P.a.
103 Cox Blvd,
Goldsboro, NC 27534-9478
Ph: (919) 734-8440 | Waynesborough Ophthalmology, P.a.
103 Cox Blvd,
Goldsboro, NC 27534-9478
Ph: (919) 734-8440 |
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