Dr Perin W Diana Jr, MD is a medicare enrolled "Ophthalmology" physician in Varnville, South Carolina. His current practice location is
1000 Pine Street, Varnville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 943-5228.
Dr Perin W Diana Jr is licensed to practice in South Carolina (license number 20809) 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 1295791598.
Physician's Profile
| Full Name | Dr Perin W Diana Jr |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1000 Pine Street, Varnville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295791598
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 10/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 9537258959
- Enrollment ID: I20071207000356
Medical Identifiers
Medical identifiers for Dr Perin W Diana Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295791598 | NPI | - | NPPES |
| GP0365 | Medicaid | SC | |
| 570669239-001 | Other | SC | BLUE CROSS |
| T49310 | Medicaid | SC | |
| 570669239-002 | Other | SC | BLUE CHOICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 20809 (South Carolina) | 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 Perin W Diana Jr allows following entities to bill medicare on his behalf.
| Entity Name | Beaufort Eye Center P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639398472
PECOS PAC ID: 1052407640
Enrollment ID: O20071011000712 |
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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 Perin W Diana Jr 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 Perin W Diana Jr, MD
55 Meriden Ave, Ste 2d,
Southington, CT 06489-3235
Ph: (843) 726-6509 | Dr Perin W Diana Jr, MD
1000 Pine Street,
Varnville, SC 29944-0969
Ph: (803) 943-5228 |
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