Dr Ashley Brooke Fazzary, OD in Charleston, SC - Medicare Optometrist Provider

Dr Ashley Brooke Fazzary, OD is a medicare enrolled "Optometrist" provider in Charleston, South Carolina. Her current practice location is 415 King St, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (888) 492-7297.

Dr Ashley Brooke Fazzary is licensed to practice in South Carolina (license number 1931) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619107406.

Contact Information

	Dr Ashley Brooke Fazzary, OD
	415 King St, Charleston, SC 29403-6407
	(888) 492-7297
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ashley Brooke Fazzary
Gender	Female
Speciality	Optometrist
Location	415 King St, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619107406
Provider Enumeration Date: 07/15/2009
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7315100609
Enrollment ID: I20170425001182

Medical Identifiers

Medical identifiers for Dr Ashley Brooke Fazzary such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619107406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1931 (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 Ashley Brooke Fazzary allows following entities to bill medicare on her behalf.

Provider Name	Lorimax Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922168459 PECOS PAC ID: 4981686557 Enrollment ID: O20040607000630

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 Ashley Brooke Fazzary 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 Ashley Brooke Fazzary, OD 1321 Freer St, Charleston, SC 29412-8121 Ph: (607) 228-7179	Dr Ashley Brooke Fazzary, OD 415 King St, Charleston, SC 29403-6407 Ph: (888) 492-7297

Reviews and Comments

Optometrist in Charleston, SC

Robert J Black, OD Optometrist Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Coastal Eye Care Of Charleston, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1606 Harbor View Rd, Charleston, SC 29412 Phone: 843-795-3937 Fax: 843-795-4760
Dr. Summer Moorer Paulatos, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1231 Folly Rd, Charleston, SC 29412 Phone: 843-795-3400 Fax: 843-795-3435
Dr. Paul M Beranek, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1890 Sam Rittenberg Blvd Ste 107, Charleston, SC 29407 Phone: 843-763-2020 Fax: 843-763-2021
Jackson Davenport Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 379 King St, Charleston, SC 29401 Phone: 843-722-4416 Fax: 843-720-8984
Crescent Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3050 Ashley Town Center Dr, Charleston, SC 29414 Phone: 843-460-2000 Fax: 843-460-2022
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407 Phone: 843-867-7056

Dr Ashley Brooke Fazzary, OD - Medicare Optometrist in Charleston, SC