Dr William A Pellow X, OD is a medicare enrolled "Optometrist" provider in Republic, Washington. His current practice location is
90 N Clark Ave, Unit 3, Republic, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 775-3800.
Dr William A Pellow X is licensed to practice in Washington (license number 1669TX) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508964180.
Healthcare Provider's Profile
| Full Name | Dr William A Pellow X |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 90 N Clark Ave, Republic, Washington |
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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: 1508964180
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 9133238199
- Enrollment ID: I20110126000641
Medical Identifiers
Medical identifiers for Dr William A Pellow X such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508964180 | NPI | - | NPPES |
| 2001386 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1669TX (Washington) | Primary |
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 William A Pellow X 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 William A Pellow X, OD
Po Box 409,
Republic, WA 99166-0409
Ph: (509) 775-3800 | Dr William A Pellow X, OD
90 N Clark Ave, Unit 3,
Republic, WA 99166-5024
Ph: (509) 775-3800 |
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