Dr Edmund Leo Prendergast Jr, OD in Summersville, WV

Dr Edmund Leo Prendergast Jr, OD is a medicare enrolled "Optometrist" provider in Summersville, West Virginia. He went to Southern College Of Optometry and graduated in 1977 and has 48 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Camden On Gauley Medical Center Inc and his current practice location is 651 Water St, Summersville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 872-5678.

Dr Edmund Leo Prendergast Jr is licensed to practice in West Virginia (license number 666D) 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 1134165251.

Contact Information

	Dr Edmund Leo Prendergast Jr, OD
	651 Water St, Summersville, WV 26651
	(304) 872-5678
	(304) 872-5697

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edmund Leo Prendergast Jr
Gender	Male
Speciality	Optometry
Experience	48 Years
Location	651 Water St, Summersville, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edmund Leo Prendergast Jr attended and graduated from Southern College Of Optometry in 1977

NPI Data:

NPI Number: 1134165251
Provider Enumeration Date: 06/20/2006
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 2668535964
Enrollment ID: I20090113000569

Medical Identifiers

Medical identifiers for Dr Edmund Leo Prendergast Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134165251	NPI	-	NPPES
0150410000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	666D (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Camden On Gauley Medical Center Inc	6002867850	23

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 Edmund Leo Prendergast Jr allows following entities to bill medicare on his behalf.

Provider Name	Camden On Gauley Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952033508 PECOS PAC ID: 6002867850 Enrollment ID: O20220912001968

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 Edmund Leo Prendergast 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 Edmund Leo Prendergast Jr, OD Po Box 69, Camden On Gauley, WV 26208-0069 Ph: (304) 226-5725	Dr Edmund Leo Prendergast Jr, OD 651 Water St, Summersville, WV 26651 Ph: (304) 872-5678

Reviews and Comments

Optometrist in Summersville, WV

John M Cline Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 669 W Webster Rd, Summersville, WV 26651 Phone: 304-872-1400 Fax: 304-872-1306
Dr. Eddie Prendergast Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 Fax: 307-872-5697
Dr. John Morgan Cline, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 669 W Webster Rd, Summersville, WV 26651 Phone: 304-872-1400 Fax: 304-872-1400
Dr. William E Pugh Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Wal St, Summersville, WV 26651 Phone: 304-872-1400
Camden On Gauley Medical Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678 Fax: 304-226-3274
Dr. Alexandra L Horne, OD FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 651 Water St, Summersville, WV 26651 Phone: 304-872-5678

Dr Edmund Leo Prendergast Jr, OD - Medicare Optometrist in Summersville, WV