Dr Jacquelyn Gayle Short, OD in Knoxville, TN

Dr Jacquelyn Gayle Short, OD is a medicare enrolled "Optometrist" provider in Knoxville, Tennessee. She went to Southern College Of Optometry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Defiance Optometric Group Inc and her current practice location is 7600 Kingston Pike Ste 1480, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 694-7527.

Dr Jacquelyn Gayle Short is licensed to practice in Tennessee (license number 3172) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588072003.

Contact Information

	Dr Jacquelyn Gayle Short, OD
	7600 Kingston Pike Ste 1480, Knoxville, TN 37919-5632
	(865) 694-7527
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacquelyn Gayle Short
Gender	Female
Speciality	Optometry
Experience	10 Years
Location	7600 Kingston Pike Ste 1480, Knoxville, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacquelyn Gayle Short attended and graduated from Southern College Of Optometry in 2014

NPI Data:

NPI Number: 1588072003
Provider Enumeration Date: 07/28/2014
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4880919430
Enrollment ID: I20211007002972

Medical Identifiers

Medical identifiers for Dr Jacquelyn Gayle Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588072003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	3172 (Tennessee)	Secondary
152WL0500X	Optometrist - Low Vision Rehabilitation	3172 (Tennessee)	Secondary
152WP0200X	Optometrist - Pediatrics	3172 (Tennessee)	Secondary
152WX0102X	Optometrist - Occupational Vision	3172 (Tennessee)	Secondary
152W00000X	Optometrist	3172 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Defiance Optometric Group Inc	4789618141	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. Dr Jacquelyn Gayle Short allows following entities to bill medicare on her behalf.

Provider Name	Defiance Optometric Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255443792 PECOS PAC ID: 4789618141 Enrollment ID: O20050924000208

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 Jacquelyn Gayle Short 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 Jacquelyn Gayle Short, OD 800 N Clinton St, Ste D, Defiance, OH 43512-4611 Ph: (419) 782-1901	Dr Jacquelyn Gayle Short, OD 7600 Kingston Pike Ste 1480, Knoxville, TN 37919-5632 Ph: (865) 694-7527

Reviews and Comments

Optometrist in Knoxville, TN

Dr. Michael Harry Cho, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9031 Cross Park Dr, Knoxville, TN 37923 Phone: 865-545-4592 Fax: 865-545-4488
Dr. Lacey Dillard Puckett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 Knoxville Center Dr, Suite 2294, Knoxville, TN 37924 Phone: 865-544-1677 Fax: 865-525-3467
Dr. Max E Zolman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6777 Clinton Hwy, Knoxville, TN 37912 Phone: 865-938-6769
Gregory S Everett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1124 E Weisgarber Rd, Knoxville, TN 37909 Phone: 865-584-0905 Fax: 865-584-3892
Frank A Carusone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 Callahan Dr, Knoxville, TN 37912 Phone: 865-687-1232 Fax: 865-687-8256
Joseph T Manning, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11124 Kingston Pike, Suite 127, Knoxville, TN 37934 Phone: 865-966-2020 Fax: 865-966-7332
David Hunter Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9409 S Northshore Dr, Suite 101, Knoxville, TN 37922 Phone: 865-694-2622 Fax: 865-694-2650

Dr Jacquelyn Gayle Short, OD - Medicare Optometrist in Knoxville, TN