Dr Gerald A Wankum, MD is a medicare enrolled "Ophthalmology" physician in Alton, Illinois. His current practice location is
3 Professional Dr, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 465-2020.
Dr Gerald A Wankum is licensed to practice in Illinois (license number 036079558) 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 1689677254.
Physician's Profile
Full Name | Dr Gerald A Wankum |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 3 Professional Dr, Alton, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689677254
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 06/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 2365407244
- Enrollment ID: I20100903000161
Medical Identifiers
Medical identifiers for Dr Gerald A Wankum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689677254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 036079558 (Illinois) | 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 Gerald A Wankum allows following entities to bill medicare on his behalf.
Entity Name | Surevision Eye Centers Midwest Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699857912 PECOS PAC ID: 1850297904 Enrollment ID: O20040423000661 |
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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 Gerald A Wankum 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 |
Dr Gerald A Wankum, MD 320 Brookes Dr, Suite 111, Hazelwood, MO 63042-2736 Ph: (314) 726-5669 | Dr Gerald A Wankum, MD 3 Professional Dr, Alton, IL 62002-5067 Ph: (618) 465-2020 |
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