Coastal Eye Clinic, Pa is a medicare enrolled "Ophthalmology" provider in New Bern, North Carolina. Their current practice location is
802 Mccarthy Blvd, New Bern, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(252) 633-4183.
Coastal Eye Clinic, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Eye Clinic, 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 1255355814.
Healthcare Provider's Profile
| Full Name | Coastal Eye Clinic, Pa |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 802 Mccarthy Blvd, New Bern, 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: 1255355814
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 6103811716
- Enrollment ID: O20040414001763
Medical Identifiers
Medical identifiers for Coastal Eye Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255355814 | NPI | - | NPPES |
| 8901353 | Medicaid | NC | |
| 5915534 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2061 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coastal Eye Clinic, Pa acts as a billing entity for following providers:
| Provider Name | Cara D Hamm |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1710172507
PECOS PAC ID: 0648343996
Enrollment ID: I20080718000470 |
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| Provider Name | Michele L Scott |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1780865717
PECOS PAC ID: 8426129602
Enrollment ID: I20090716000718 |
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| Provider Name | James K Chance |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1992719009
PECOS PAC ID: 7416917687
Enrollment ID: I20100318000208 |
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| Provider Name | Dean P Ouano |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1811911316
PECOS PAC ID: 2466502000
Enrollment ID: I20100318000821 |
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| Provider Name | Jordan R Ridgeway |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1902231640
PECOS PAC ID: 5991024077
Enrollment ID: I20171025000325 |
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| Provider Name | Nirvighna N. Kanjiya |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1376876227
PECOS PAC ID: 7517092497
Enrollment ID: I20181015002711 |
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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 Eye Clinic, 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 |
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Coastal Eye Clinic, Pa
802 Mccarthy Blvd,
New Bern, NC 28562-5236
Ph: (252) 633-4183 | Coastal Eye Clinic, Pa
802 Mccarthy Blvd,
New Bern, NC 28562-5236
Ph: (252) 633-4183 |
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