Kendall Whitfield Wannamaker Jr, MD - Medicare Ophthalmology in Southern Pines, NC

Kendall Whitfield Wannamaker Jr, MD is a medicare enrolled "Ophthalmology" physician in Southern Pines, North Carolina. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Carolina Eye Associates Inc and his current practice location is 2170 Midland Rd, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 295-2100.

Kendall Whitfield Wannamaker Jr is licensed to practice in North Carolina (license number 2021-01183) 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 1962882886.

Contact Information

Kendall Whitfield Wannamaker Jr, MD
2170 Midland Rd,
Southern Pines, NC 28387-2927
(910) 295-2100
(910) 295-3625



Physician's Profile

Full NameKendall Whitfield Wannamaker Jr
GenderMale
SpecialityOphthalmology
Experience3 Years
Location2170 Midland Rd, Southern Pines, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kendall Whitfield Wannamaker Jr graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1962882886
  • Provider Enumeration Date: 06/05/2015
  • Last Update Date: 12/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456651975
  • Enrollment ID: I20210730002565

Medical Identifiers

Medical identifiers for Kendall Whitfield Wannamaker Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962882886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology TP302 (Kentucky)Secondary
207R00000XInternal Medicine LL38304 (South Carolina)Secondary
207W00000XOphthalmology 35136292 (Ohio)Secondary
207W00000XOphthalmology 2021-01183 (North Carolina)Primary
207WX0107XOphthalmology - Retina Specialist 2021-01183 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Eye Associates Inc044624586435

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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. Kendall Whitfield Wannamaker Jr allows following entities to bill medicare on his behalf.
Entity NameCarolina Eye Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649349291
PECOS PAC ID: 0446245864
Enrollment ID: O20040415001335

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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. Kendall Whitfield Wannamaker Jr 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
Kendall Whitfield Wannamaker Jr, MD
2170 Midland Rd,
Southern Pines, NC 28387-2927

Ph: (910) 295-2100
Kendall Whitfield Wannamaker Jr, MD
2170 Midland Rd,
Southern Pines, NC 28387-2927

Ph: (910) 295-2100

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Ophthalmology Doctors in Southern Pines, NC

Dr. Tarra Wright Millender, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-5339
Winston Joseph Garris, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-0917
Jeffrey Jason White, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-3625
Dr. John Wesley French, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-3625
Dr. Daniel Kent Messner, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-3625
Robert Allan Sharpe, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-3625
Dr. Gregory Julian Mincey, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 2170 Midland Rd, Southern Pines, NC 28387
Phone: 910-295-2100    Fax: 910-295-3625

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