Jimmy H Elam, OD in Poplar Bluff, MO - Medicare Optometrist Provider

Jimmy H Elam, OD is a medicare enrolled "Optometrist" provider in Poplar Bluff, Missouri. His current practice location is 2511 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 686-5866.

Jimmy H Elam is licensed to practice in Missouri (license number 2189) 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 1194718379.

Contact Information

	Jimmy H Elam, OD
	2511 N Westwood Blvd, Poplar Bluff, MO 63901-2338
	(573) 686-5866
	(618) 997-6250

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy H Elam
Gender	Male
Speciality	Optometrist
Location	2511 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194718379
Provider Enumeration Date: 08/24/2005
Last Update Date: 12/13/2011

Medicare PECOS Information:

PECOS PAC ID: 8820185598
Enrollment ID: I20071026000501

Medical Identifiers

Medical identifiers for Jimmy H Elam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194718379	NPI	-	NPPES
1194718379	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2189 (Missouri)	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. Jimmy H Elam allows following entities to bill medicare on his behalf.

Provider Name	Ky Doctors Of Optometry Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194739490 PECOS PAC ID: 0941108732 Enrollment ID: O20040920001189

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. Jimmy H Elam 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
Jimmy H Elam, OD Po Box 1178, Marion, IL 62959-7678 Ph: (618) 993-5686	Jimmy H Elam, OD 2511 N Westwood Blvd, Poplar Bluff, MO 63901-2338 Ph: (573) 686-5866

Reviews and Comments

Optometrist in Poplar Bluff, MO

Dr. Kayla S Melton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4303
Drjerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477
Dr. Michael R. Penney Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-1442 Fax: 573-776-6024
Franklin Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901 Phone: 409-617-9774
Dr Jerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477
Tyler N Tinsley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901 Phone: 573-686-3991 Fax: 573-686-3992
Dr. Jerry Wayne Long, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477

Jimmy H Elam, OD - Medicare Optometrist in Poplar Bluff, MO