Nicholas Corneillie, OD in Hiram, GA - Medicare Optometrist Provider

Nicholas Corneillie, OD is a medicare enrolled "Optometrist" provider in Hiram, Georgia. His current practice location is 4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 932-5779.

Nicholas Corneillie is licensed to practice in Georgia (license number OPT003435) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568196194.

Contact Information

	Nicholas Corneillie, OD
	4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, GA 30141-2723
	(678) 932-5779
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Corneillie
Gender	Male
Speciality	Optometrist
Location	4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568196194
Provider Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1456703818
Enrollment ID: I20240122002404

Medical Identifiers

Medical identifiers for Nicholas Corneillie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568196194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT003435 (Georgia)	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. Nicholas Corneillie allows following entities to bill medicare on his behalf.

Provider Name	Southeast Eye Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598541534 PECOS PAC ID: 9638521099 Enrollment ID: O20240122001770

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. Nicholas Corneillie 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
Nicholas Corneillie, OD 246 King Arthur Dr, Woodstock, GA 30189-3655 Ph: () -	Nicholas Corneillie, OD 4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, GA 30141-2723 Ph: (678) 932-5779

Reviews and Comments

Optometrist in Hiram, GA

Hiram Vision Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4795 Jimmy Lee Smith Pkwy, Bldg 100 Suite 100, Hiram, GA 30141 Phone: 770-222-6362
Dr. Ingrid A Ellison, M.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4795 Jimmy Lee Smith Pkwy, Suite 101, Hiram, GA 30141 Phone: 770-222-6362 Fax: 866-528-7115
Lynn Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4166 Jimmy Lee Smith Pkwy, Suite G, Hiram, GA 30141 Phone: 770-439-4230
Dr. Kristine Lynn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4166 Jimmy Lee Smith Pkwy Ste G, Hiram, GA 30141 Phone: 770-439-4230
Dr. Patrick Wayne Schrepel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, GA 30141 Phone: 678-932-5779
Dr. Sylvester Ayewoh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4373 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141 Phone: 770-943-2220 Fax: 770-943-4245

Nicholas Corneillie, OD - Medicare Optometrist in Hiram, GA