Nash Ditmetaroj, OD in Jonesboro, GA - Medicare Optometry Provider

Nash Ditmetaroj, OD is a medicare enrolled "Optometrist" provider in Jonesboro, Georgia. He went to Indiana University - School Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 906-3173.

Nash Ditmetaroj is licensed to practice in Georgia (license number OPT002753) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730520321.

Contact Information

	Nash Ditmetaroj, OD
	2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500
	(678) 906-3173
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nash Ditmetaroj
Gender	Male
Speciality	Optometry
Experience	11 Years
Location	2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nash Ditmetaroj attended and graduated from Indiana University - School Of Optometry in 2013

NPI Data:

NPI Number: 1730520321
Provider Enumeration Date: 07/10/2013
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 4082830997
Enrollment ID: I20140730001666

Medical Identifiers

Medical identifiers for Nash Ditmetaroj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730520321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0002753 (Georgia)	Secondary
152W00000X	Optometrist	OPT002753 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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. Nash Ditmetaroj allows following entities to bill medicare on his behalf.

Provider Name	The Southeast Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Nash Ditmetaroj 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
Nash Ditmetaroj, OD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Nash Ditmetaroj, OD 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (678) 906-3173

Reviews and Comments

Optometrist in Jonesboro, GA

Depoe Eye Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 300 N Main St, Suite 301, Jonesboro, GA 30236 Phone: 770-603-0063
Dr. Shantise Mccall Story, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-781-5995
Robert W. Mccullough, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037
Mr. Blair John Lamey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 423-899-2905 Fax: 423-894-3261
Dr. Robert W. Mccullough Optometrist Medicare: Medicare Enrolled Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037
The Eyes Have It, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6525 Tara Blvd, Suite 134, Jonesboro, GA 30236 Phone: 678-369-8676 Fax: 678-369-8676
Ms. Terri Lynne Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-940-9000

Nash Ditmetaroj, OD - Medicare Optometrist in Jonesboro, GA