Dr Jenna Elise Stoddard, OD is a medicare enrolled "Optometrist" provider in Cameron, North Carolina. Her current practice location is
1524 Nc 24-87, Cameron, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 223-5410.
Dr Jenna Elise Stoddard is licensed to practice in North Carolina (license number 2688) 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 1184101602.
Healthcare Provider's Profile
| Full Name | Dr Jenna Elise Stoddard |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1524 Nc 24-87, Cameron, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184101602
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517295207
- Enrollment ID: I20230224002631
Medical Identifiers
Medical identifiers for Dr Jenna Elise Stoddard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184101602 | NPI | - | NPPES |
| 2688 | Other | NC | NORTH CAROLINA OPTOMETRY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2688 (North 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 Jenna Elise Stoddard allows following entities to bill medicare on her behalf.
| Provider Name | Risk Optometric Associates, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073584157
PECOS PAC ID: 8325110034
Enrollment ID: O20080711000239 |
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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. Dr Jenna Elise Stoddard 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 Jenna Elise Stoddard, OD
12 Fairfax St Se,
Leesburg, VA 20175-3616
Ph: (703) 777-1299 | Dr Jenna Elise Stoddard, OD
1524 Nc 24-87,
Cameron, NC 28326-9424
Ph: (910) 223-5410 |
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