Mr Leroy Maxwell Sr, OD MPH - Medicare Optometrist in Selma, AL

Mr Leroy Maxwell Sr, OD MPH is a medicare enrolled "Optometrist" provider in Selma, Alabama. He went to University Alabama Birmingham - School Of Optometry and graduated in 1979 and has 45 years of diverse experience with area of expertise as Optometry. His current practice location is 2401 Medical Center Pkwy, Selma, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 872-2321.

Mr Leroy Maxwell Sr is licensed to practice in Alabama (license number S435TA115) 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 1396758504.

Contact Information

Mr Leroy Maxwell Sr, OD MPH
2401 Medical Center Pkwy,
Selma, AL 36701-7756
(334) 872-2321
(334) 872-2391



Healthcare Provider's Profile

Full NameMr Leroy Maxwell Sr
GenderMale
SpecialityOptometry
Experience45 Years
Location2401 Medical Center Pkwy, Selma, Alabama
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:
  • Mr Leroy Maxwell Sr attended and graduated from University Alabama Birmingham - School Of Optometry in 1979
  NPI Data:
  • NPI Number: 1396758504
  • Provider Enumeration Date: 08/15/2006
  • Last Update Date: 10/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2163456104
  • Enrollment ID: I20050920000743

Medical Identifiers

Medical identifiers for Mr Leroy Maxwell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396758504NPI-NPPES
000095573MedicaidAL
051095573OtherALBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist S435TA115 (Alabama)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. Mr Leroy Maxwell Sr allows following entities to bill medicare on his behalf.
Provider NameSelma Family Practice Optometry, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871677260
PECOS PAC ID: 0042244022
Enrollment ID: O20220315002472

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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. Mr Leroy Maxwell Sr 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
Mr Leroy Maxwell Sr, OD MPH
Po Box 650,
Selma, AL 36701-0650

Ph: (334) 872-2321
Mr Leroy Maxwell Sr, OD MPH
2401 Medical Center Pkwy,
Selma, AL 36701-7756

Ph: (334) 872-2321

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Optometrist in Selma, AL

Dr. John C. Blackenburg, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Dallas Ave, Selma, AL 36701
Phone: 850-622-0364    Fax: 850-622-0364
Primary Eyecare Center Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2401 Medical Center Pkwy., Selma, AL 36701
Phone: 334-874-7024    Fax: 334-874-7372
Kristina Lovinggood, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Dallas Ave, Selma, AL 36701
Phone: 334-874-7024    Fax: 334-874-7372
Selma Eye Associates, Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 700 Dallas Ave, Selma, AL 36701
Phone: 334-872-6296    Fax: 334-872-5000
Dr. Jeffery B. Ford And Assoc. Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Al Highway 14 E, Selma, AL 36703
Phone: 334-874-8357    
Dr. Yolanda Taylor-rose, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Medical Center Pkwy, Selma, AL 36701
Phone: 334-872-2321    Fax: 334-872-2391

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