Dr J Grady Elliott, OD - Medicare Optometrist in Winston Salem, NC

Dr J Grady Elliott, OD is a medicare enrolled "Optometrist" provider in Winston Salem, North Carolina. He went to Southern College Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clark Optometric Center Pa and his current practice location is 3111 Maplewood Ave, Suite 103, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 765-8130.

Dr J Grady Elliott is licensed to practice in North Carolina (license number 1456) 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 1285774166.

Contact Information

Dr J Grady Elliott, OD
3111 Maplewood Ave, Suite 103,
Winston Salem, NC 27103-3906
(336) 765-8130
(336) 765-6403

Map and Direction




Healthcare Provider's Profile

Full NameDr J Grady Elliott
GenderMale
SpecialityOptometry
Experience32 Years
Location3111 Maplewood Ave, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr J Grady Elliott attended and graduated from Southern College Of Optometry in 1992
  NPI Data:
  • NPI Number: 1285774166
  • Provider Enumeration Date: 02/08/2007
  • Last Update Date: 04/13/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6709910953
  • Enrollment ID: I20100901000858

Medical Identifiers

Medical identifiers for Dr J Grady Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285774166NPI-NPPES
0112WOtherNCBCBS
0247000001OtherNCPALMETTO GBA
890908BMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1456 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clark Optometric Center Pa670991109244

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 J Grady Elliott allows following entities to bill medicare on his behalf.
Provider NameClark Optometric Center Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588619217
PECOS PAC ID: 6709911092
Enrollment ID: O20100311000546

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 J Grady Elliott 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 AddressPractice Location Address
Dr J Grady Elliott, OD
3111 Maplewood Ave, Suite 103,
Winston Salem, NC 27103-3906

Ph: (336) 765-8130
Dr J Grady Elliott, OD
3111 Maplewood Ave, Suite 103,
Winston Salem, NC 27103-3906

Ph: (336) 765-8130

Reviews and Comments


Optometrist in Winston Salem, NC

Dr. Gary Brent Cogdill, O.D.
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Hillcrest Vision, O.d., P.a.
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Lisa N Davis, O.D.
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Phone: 336-842-0952    Fax: 336-793-3475

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.