South Eastern Eye Center, Office Of Dr Nacondus Gamble is a medicare enrolled "Optometrist" provider in Apo, Armed Forces Americas. Their current practice location is
345 Lindquist, Bldg. 71, Apo, Armed Forces Americas. You can reach out to their office (for appointments etc.) via phone at
(912) 876-1101.
South Eastern Eye Center, Office Of Dr Nacondus Gamble is licensed to practice in Georgia (license number OPT002433) and it also participates in the medicare program. South Eastern Eye Center, Office Of Dr Nacondus Gamble
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093953002.
Healthcare Provider's Profile
| Full Name | South Eastern Eye Center, Office Of Dr Nacondus Gamble |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 345 Lindquist, Apo, Armed Forces Americas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093953002
- Provider Enumeration Date: 01/29/2009
- Last Update Date: 05/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698831568
- Enrollment ID: O20090227000446
Medical Identifiers
Medical identifiers for South Eastern Eye Center, Office Of Dr Nacondus Gamble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093953002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT002433 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
South Eastern Eye Center, Office Of Dr Nacondus Gamble acts as a billing entity for following providers:
| Provider Name | Nacondus G Gamble |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1861402588
PECOS PAC ID: 4880693571
Enrollment ID: I20080902000285 |
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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. South Eastern Eye Center, Office Of Dr Nacondus Gamble 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 |
|---|
South Eastern Eye Center, Office Of Dr Nacondus Gamble
Po Box 3700,
Fort Stewart, GA 31315-3700
Ph: (912) 748-3926 | South Eastern Eye Center, Office Of Dr Nacondus Gamble
345 Lindquist, Bldg. 71,
Apo, AA 31314-0345
Ph: (912) 876-1101 |
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