Darrel W Wyatt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Palatka, Florida. He went to University Of Arkansas College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Haven Medical Group Llc and his current practice location is
700 Zeagler Dr., Suite 9, Palatka, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 326-1629.
Darrel W Wyatt is licensed to practice in Florida (license number 034830) 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 1639282775.
Physician's Profile
| Full Name | Darrel W Wyatt |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 46 Years |
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| Location | 700 Zeagler Dr., Palatka, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Darrel W Wyatt attended and graduated from University Of Arkansas College Of Medicine in 1978
NPI Data:
- NPI Number: 1639282775
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 10/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 2668468836
- Enrollment ID: I20050920000748
Medical Identifiers
Medical identifiers for Darrel W Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639282775 | NPI | - | NPPES |
| 038781900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 034830 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Haven Medical Group Llc | 2365692373 | 6 |
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. Darrel W Wyatt allows following entities to bill medicare on his behalf.
| Entity Name | Haven Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407143316
PECOS PAC ID: 2365692373
Enrollment ID: O20121030000003 |
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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. Darrel W Wyatt 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 |
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Darrel W Wyatt, MD
700 Zeagler Dr, Suite 9,
Palatka, FL 32177-6806
Ph: (386) 326-1629 | Darrel W Wyatt, MD
700 Zeagler Dr., Suite 9,
Palatka, FL 32177-6806
Ph: (386) 326-1629 |
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