Dr Susan Licata Durham, OD in Raleigh, NC - Medicare Optometry Provider

Dr Susan Licata Durham, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Raleigh, North Carolina. She went to Pennsylvania College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Brier Creek Vision Care Pa and her current practice location is 10207 Cerny St, Suite 100, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 361-2299.

Dr Susan Licata Durham is licensed to practice in North Carolina (license number 1335) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023043163.

Contact Information

	Dr Susan Licata Durham, OD
	10207 Cerny St, Suite 100, Raleigh, NC 27617-7878
	(919) 361-2299
	(919) 361-0055

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan Licata Durham
Gender	Female
Speciality	Optometry
Experience	35 Years
Location	10207 Cerny St, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susan Licata Durham attended and graduated from Pennsylvania College Of Optometry in 1989

NPI Data:

NPI Number: 1023043163
Provider Enumeration Date: 07/11/2006
Last Update Date: 09/29/2011

Medicare PECOS Information:

PECOS PAC ID: 2769467505
Enrollment ID: I20100331001281

Medical Identifiers

Medical identifiers for Dr Susan Licata Durham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023043163	NPI	-	NPPES
410036278	Other	NC	RAILROAD MEDICARE
1223620002	Other	NC	PALMETTO DMERC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	1335 (North Carolina)	Secondary
152WL0500X	Optometrist - Low Vision Rehabilitation	1335 (North Carolina)	Secondary
152WP0200X	Optometrist - Pediatrics	1335 (North Carolina)	Primary
152WS0006X	Optometrist - Sports Vision	1335 (North Carolina)	Secondary
152WV0400X	Optometrist - Vision Therapy	1335 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brier Creek Vision Care Pa	6305972043	2

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 Susan Licata Durham allows following entities to bill medicare on her behalf.

Provider Name	Brier Creek Vision Care Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881925378 PECOS PAC ID: 6305972043 Enrollment ID: O20100331001283

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 Susan Licata Durham 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 Susan Licata Durham, OD 10207 Cerny St, Suite 100, Raleigh, NC 27617-7878 Ph: (919) 361-2299	Dr Susan Licata Durham, OD 10207 Cerny St, Suite 100, Raleigh, NC 27617-7878 Ph: (919) 361-2299

Reviews and Comments

Optometrist in Raleigh, NC

Dr. P Wayne Moser, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4325 Glenwood Ave, Raleigh, NC 27612 Phone: 919-782-4100 Fax: 919-787-9573
Eye Care Associates Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6566 Glenwood Ave, Raleigh, NC 27612 Phone: 919-783-0011 Fax: 919-781-9267
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2024 Cameron St, Raleigh, NC 27605 Phone: 919-863-2015 Fax: 919-861-0540
Midtown Optometry Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4109 Wake Forest Rd Ste 10, Raleigh, NC 27609 Phone: 984-213-8863
Dr. Doris Chin, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7016 Harps Mill Rd, Suite 103, Raleigh, NC 27615 Phone: 919-847-6889 Fax: 919-847-2441
Holland & Holland Eye Care Center Optometry Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 603 New Bern Ave, Raleigh, NC 27601 Phone: 919-828-9085 Fax: 919-828-9086

Dr Susan Licata Durham, OD - Medicare Optometrist in Raleigh, NC