Benjamin C Poole, OD is a medicare enrolled "Optometrist" provider in Clover, South Carolina. He went to Illinois College Of Optometry At Chicago and graduated in 1982 and has 44 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Poole Eyecare Pa, Poole Eyecare Pa and his current practice location is
121 Bethel St, Clover, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 222-9538.
Benjamin C Poole is licensed to practice in South Carolina (license number SC 728) 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 1871550897.
Healthcare Provider's Profile
| Full Name | Benjamin C Poole |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 44 Years |
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| Location | 121 Bethel St, Clover, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Benjamin C Poole attended and graduated from Illinois College Of Optometry At Chicago in 1982
NPI Data:
- NPI Number: 1871550897
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 05/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032134374
- Enrollment ID: I20051006000115
Medical Identifiers
Medical identifiers for Benjamin C Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871550897 | NPI | - | NPPES |
| D07286 | Medicaid | SC | |
| 570788101001 | Other | SC | BCBS OF SC |
| 09655 | Other | NC | BCBS OF NC |
| 89-09655 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | NC1109 (North Carolina) | Secondary |
| 152W00000X | Optometrist | SC 728 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poole Eyecare Pa | 8729135603 | 2 |
| Poole Eyecare Pa | 8729135603 | 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. Benjamin C Poole allows following entities to bill medicare on his behalf.
| Provider Name | Poole Eyecare Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962450098
PECOS PAC ID: 8729135603
Enrollment ID: O20090409000708 |
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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. Benjamin C Poole 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 |
|---|
Benjamin C Poole, OD
121 Bethel St,
Clover, SC 29710-1101
Ph: (803) 222-9538 | Benjamin C Poole, OD
121 Bethel St,
Clover, SC 29710-1101
Ph: (803) 222-9538 |
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