Edward Theodore Washington Jr, is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Norcross, Georgia. His current practice location is
4045 Wetherburn Way Ste 1, Norcross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 285-7910.
Edward Theodore Washington Jr is licensed to practice in Georgia (license number 91739) 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 1104211283.
Physician's Profile
| Full Name | Edward Theodore Washington Jr |
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| Gender | Male |
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| Speciality | Ophthalmology - Glaucoma Specialist |
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| Location | 4045 Wetherburn Way Ste 1, Norcross, Georgia |
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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: 1104211283
- Provider Enumeration Date: 04/05/2015
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789970369
- Enrollment ID: I20190819003812
Medical Identifiers
Medical identifiers for Edward Theodore Washington Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104211283 | NPI | - | NPPES |
| 300039071 | Medicaid | IN | |
| 7100669250 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 312393 (Louisiana) | Secondary |
| 207W00000X | Ophthalmology | 57027483 (Ohio) | Secondary |
| 207W00000X | Ophthalmology | TP126 (Kentucky) | Secondary |
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 91739 (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. Edward Theodore Washington Jr allows following entities to bill medicare on his behalf.
| Entity Name | Ochsner Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513 |
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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. Edward Theodore Washington 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 |
|---|
Edward Theodore Washington Jr,
4045 Wetherburn Way Ste 1,
Norcross, GA 30092-4611
Ph: (770) 285-7010 | Edward Theodore Washington Jr,
4045 Wetherburn Way Ste 1,
Norcross, GA 30092-4611
Ph: (770) 285-7910 |
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