Dr Jeremy Daniel Edgerly, OD is a medicare enrolled "Optometrist" provider in Mountain Brook, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Marx Optical Inc and his current practice location is
921 Jemison Ln, Mountain Brook, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 341-9595.
Dr Jeremy Daniel Edgerly is licensed to practice in Alabama (license number S-C78) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1003177296.
Healthcare Provider's Profile
| Full Name | Dr Jeremy Daniel Edgerly |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 14 Years |
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| Location | 921 Jemison Ln, Mountain Brook, Alabama |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeremy Daniel Edgerly attended and graduated from University Of Alabama School Of Medicine in 2012
NPI Data:
- NPI Number: 1003177296
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 05/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 4880838390
- Enrollment ID: I20130924000569
Medical Identifiers
Medical identifiers for Dr Jeremy Daniel Edgerly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003177296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | S-C78 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Marx Optical Inc | 4082733258 | 7 |
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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 Jeremy Daniel Edgerly allows following entities to bill medicare on his behalf.
| Provider Name | Marx Optical Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942346101
PECOS PAC ID: 4082733258
Enrollment ID: O20170919002592 |
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| Provider Name | Jeremy Edgerly Od Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679290332
PECOS PAC ID: 7012387509
Enrollment ID: O20221227001488 |
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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 Jeremy Daniel Edgerly 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 |
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Dr Jeremy Daniel Edgerly, OD
921 Jemison Ln,
Mountain Brook, AL 35223-3003
Ph: (205) 341-9595 | Dr Jeremy Daniel Edgerly, OD
921 Jemison Ln,
Mountain Brook, AL 35223-3003
Ph: (205) 341-9595 |
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