Dr Haley Penrod, OD in Riverdale, GA - Medicare Optometrist Provider

Dr Haley Penrod, OD is a medicare enrolled "Optometrist" provider in Riverdale, Georgia. Her current practice location is 131 Upper Riverdale Rd Sw, Riverdale, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 994-9913.

Dr Haley Penrod is licensed to practice in Arizona (license number 2428) 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 1922520501.

Contact Information

	Dr Haley Penrod, OD
	131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540
	(770) 994-9913
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Haley Penrod
Gender	Female
Speciality	Optometrist
Location	131 Upper Riverdale Rd Sw, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922520501
Provider Enumeration Date: 07/14/2017
Last Update Date: 10/06/2020

Medicare PECOS Information:

PECOS PAC ID: 9032484936
Enrollment ID: I20171003005455

Medical Identifiers

Medical identifiers for Dr Haley Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922520501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3045 (Georgia)	Secondary
152WV0400X	Optometrist - Vision Therapy	OPT003045 (Georgia)	Secondary
152W00000X	Optometrist	2428 (Arizona)	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. Dr Haley Penrod allows following entities to bill medicare on her behalf.

Provider Name	Robert T Goetzinger Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942498308 PECOS PAC ID: 2264423698 Enrollment ID: O20040524000233

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 Haley Penrod 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 Haley Penrod, OD 4056 Idlevale Dr, Tucker, GA 30084-7815 Ph: () -	Dr Haley Penrod, OD 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 Ph: (770) 994-9913

Reviews and Comments

Optometrist in Riverdale, GA

Niketha Ajodha, Optometrist Medicare: Medicare Enrolled Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 770-994-1670
Bolt Eye Group - Riverdale, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913
Came Home Seeing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 470-693-8184
Fred Osaretin Osayi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7583 Highway 85, Riverdale, GA 30274 Phone: 770-996-3495

Dr Haley Penrod, OD - Medicare Optometrist in Riverdale, GA