Dr Staci Harwell Tebbetts, OD - Medicare Optometrist in Dawsonville, GA

  1. Home
  2. Optometrists
  3. GA
  4. Dawsonville
Dr Staci Harwell Tebbetts, OD is a medicare enrolled "Optometrist" provider in Dawsonville, Georgia. She went to Southern College Of Optometry and graduated in 2017 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice North Georgia Family Eye Care, Inc and her current practice location is 5983 Highway 53 E Ste 250, Dawsonville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 216-6595.

Dr Staci Harwell Tebbetts is licensed to practice in Georgia (license number OPT003012) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417485715.

Contact Information

Dr Staci Harwell Tebbetts, OD
5983 Highway 53 E Ste 250,
Dawsonville, GA 30534-9516
(706) 216-6595
(706) 216-6594

Map and Direction




Healthcare Provider's Profile

Full NameDr Staci Harwell Tebbetts
GenderFemale
SpecialityOptometry
Experience9 Years
Location5983 Highway 53 E Ste 250, Dawsonville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Staci Harwell Tebbetts attended and graduated from Southern College Of Optometry in 2017
  NPI Data:
  • NPI Number: 1417485715
  • Provider Enumeration Date: 05/31/2017
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981978368
  • Enrollment ID: I20170923000321

Medical Identifiers

Medical identifiers for Dr Staci Harwell Tebbetts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417485715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT003012 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Georgia Family Eye Care, Inc74162633303

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 Staci Harwell Tebbetts allows following entities to bill medicare on her behalf.
Provider NameWinder Eye Care Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154349041
PECOS PAC ID: 1153312871
Enrollment ID: O20040521000074
Provider NamePremier Vision Partners
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376213165
PECOS PAC ID: 1850789553
Enrollment ID: O20211029001277
Provider NameNorth Georgia Family Eye Care, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457738148
PECOS PAC ID: 7416263330
Enrollment ID: O20240524001477

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 Staci Harwell Tebbetts 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 AddressPractice Location Address
Dr Staci Harwell Tebbetts, OD
5983 Highway 53 E Ste 250,
Dawsonville, GA 30534-9516

Ph: (706) 216-6595		Dr Staci Harwell Tebbetts, OD
5983 Highway 53 E Ste 250,
Dawsonville, GA 30534-9516

Ph: (706) 216-6595

Reviews and Comments


Optometrist in Dawsonville, GA

Dr. Daniel Scott Winter, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 156 Power Center Dr, Dawsonville, GA 30534
Phone: 706-265-2368    Fax: 706-265-2377
Dr. Keyle Clemons Brown,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 29 Dawson Village Way S, Dawsonville, GA 30534
Phone: 706-216-7732    
Dawson Vision Center, Inc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 76 Bethel Dr, Dawsonville, GA 30534
Phone: 706-531-9900    Fax: 706-531-9901
Jeung Hyoun Kim, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 29 Dawson Village Way S, Dawsonville, GA 30534
Phone: 706-216-7732    Fax: 706-216-0168
Daniel S Winter, Od, Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 156 Power Center Dr, Dawsonville, GA 30534
Phone: 706-265-2368    Fax: 706-265-2377
Dr. Brian P Burke, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 76 Bethel Drive, Dawsonville, GA 30534
Phone: 706-531-9900    Fax: 706-531-9901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.