Dr Christopher Kevin Wyatt, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Burkburnett, Texas. His current practice location is
312 S Avenue D, Burkburnett, Texas. You can reach out to his office (for appointments etc.) via phone at
(833) 379-9288.
Dr Christopher Kevin Wyatt is licensed to practice in Texas (license number R5489) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396842951.
Physician's Profile
| Full Name | Dr Christopher Kevin Wyatt |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 312 S Avenue D, Burkburnett, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396842951
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 10/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 6002155389
- Enrollment ID: I20190304002244
Medical Identifiers
Medical identifiers for Dr Christopher Kevin Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396842951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD462998 (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22301 (Oklahoma) | Secondary |
| 208D00000X | General Practice | R5489 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R5489 (Texas) | 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. Dr Christopher Kevin Wyatt allows following entities to bill medicare on his behalf.
| Entity Name | Suburban Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710355029
PECOS PAC ID: 6204145642
Enrollment ID: O20151026000795 |
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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. Dr Christopher Kevin 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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Dr Christopher Kevin Wyatt, MD
801 Sugarbush Ln,
Burkburnett, TX 76354-2538
Ph: (833) 379-9288 | Dr Christopher Kevin Wyatt, MD
312 S Avenue D,
Burkburnett, TX 76354
Ph: (833) 379-9288 |
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