Dr Charles Avery Rice, OD is a medicare enrolled "Optometrist" provider in South Fulton, Tennessee. He went to Southern College Of Optometry and graduated in 1975 and has 49 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Jessup Mobile Opt Tn Llc and his current practice location is
207 West State Line, South Fulton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 479-1334.
Dr Charles Avery Rice is licensed to practice in Tennessee (license number 0662) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740268531.
Healthcare Provider's Profile
| Full Name | Dr Charles Avery Rice |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 49 Years |
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| Location | 207 West State Line, South Fulton, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Avery Rice attended and graduated from Southern College Of Optometry in 1975
NPI Data:
- NPI Number: 1740268531
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 11/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395852040
- Enrollment ID: I20120627000399
Medical Identifiers
Medical identifiers for Dr Charles Avery Rice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740268531 | NPI | - | NPPES |
| 77008316 | Other | KY | KY MEDICAID |
| 0073836 | Other | TN | BCBS TN |
| 410047175 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 0662 (Tennessee) | Primary |
| 152W00000X | Optometrist | 0831DT (Kentucky) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jessup Mobile Opt Tn Llc | 3476898073 | 8 |
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. Dr Charles Avery Rice allows following entities to bill medicare on his behalf.
| Provider Name | Jessup Mobile Opt Tn Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740763325
PECOS PAC ID: 3476898073
Enrollment ID: O20190102000685 |
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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. Dr Charles Avery Rice 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 |
|---|
Dr Charles Avery Rice, OD
Po Box 5200, 207 West Stateline,
South Fulton, TN 38257
Ph: (731) 479-1334 | Dr Charles Avery Rice, OD
207 West State Line,
South Fulton, TN 38257
Ph: (731) 479-1334 |
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