C Wallace Liles Jr, OD in Mena, AR - Medicare Optometrist Provider

C Wallace Liles Jr, OD is a medicare enrolled "Optometrist" provider in Mena, Arkansas. His current practice location is 208 Morrow St S, Mena, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 394-4215.

C Wallace Liles Jr is licensed to practice in Arkansas (license number AR2331) 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 1184620049.

Contact Information

	C Wallace Liles Jr, OD
	208 Morrow St S, Mena, AR 71953-2510
	(479) 394-4215
	(479) 394-3455

Map and Direction

Healthcare Provider's Profile

Full Name	C Wallace Liles Jr
Gender	Male
Speciality	Optometrist
Location	208 Morrow St S, Mena, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184620049
Provider Enumeration Date: 06/24/2005
Last Update Date: 06/03/2019

Medicare PECOS Information:

PECOS PAC ID: 5294711370
Enrollment ID: I20090630000437

Medical Identifiers

Medical identifiers for C Wallace Liles Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184620049	NPI	-	NPPES
103836722	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	AR2331 (Arkansas)	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. C Wallace Liles Jr allows following entities to bill medicare on his behalf.

Provider Name	Dr. Perry Lee Amerine, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427370022 PECOS PAC ID: 2567506892 Enrollment ID: O20100224000390

Provider Name	Med Southwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497211783 PECOS PAC ID: 4082952874 Enrollment ID: O20190403000952

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. C Wallace Liles 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
C Wallace Liles Jr, OD 703j Highway 71 N, Mena, AR 71953-4395 Ph: (479) 394-4215	C Wallace Liles Jr, OD 208 Morrow St S, Mena, AR 71953-2510 Ph: (479) 394-4215

Reviews and Comments

Optometrist in Mena, AR

C Wallace Liles Iii O D Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 703 Highway 71 N Ste J, Mena, AR 71953 Phone: 479-394-4215 Fax: 479-394-3455
C. Wallace Liles, Jr Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 703j Highway 71 N, Mena, AR 71953 Phone: 479-394-4215
Med Southwest, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 Morrow St S, Mena, AR 71953 Phone: 479-394-4215 Fax: 479-394-3455
Dr J. Richard Carver, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 Maple Ave, Mena, AR 71953 Phone: 479-394-2020 Fax: 479-394-2137
Mena Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 600 Highway 71 N, Mena, AR 71953 Phone: 479-394-4083 Fax: 479-394-1117
Dr. Bill J Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Highway 71 N, Mena, AR 71953 Phone: 479-394-4083 Fax: 479-394-1117

C Wallace Liles Jr, OD - Medicare Optometrist in Mena, AR