Brandyn Wyatt, OD in Lebanon, OR - Medicare Optometrist Provider

Brandyn Wyatt, OD is a medicare enrolled "Optometrist" provider in Lebanon, Oregon. His current practice location is 90 Market St Ste 20, Lebanon, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 451-2020.

Brandyn Wyatt is licensed to practice in Oregon (license number 4683ATI) 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 1821773722.

Contact Information

	Brandyn Wyatt, OD
	90 Market St Ste 20, Lebanon, OR 97355-2396
	(541) 451-2020
	(541) 451-1785

Map and Direction

Healthcare Provider's Profile

Full Name	Brandyn Wyatt
Gender	Male
Speciality	Optometrist
Location	90 Market St Ste 20, Lebanon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821773722
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0143689364
Enrollment ID: I20230706002840

Medical Identifiers

Medical identifiers for Brandyn Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821773722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4683ATI (Oregon)	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. Brandyn Wyatt allows following entities to bill medicare on his behalf.

Provider Name	Lifetime Vision Source Of Lebanon Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710168877 PECOS PAC ID: 6608773148 Enrollment ID: O20031215000247

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. Brandyn 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
Brandyn Wyatt, OD 90 Market St Ste 20, Lebanon, OR 97355-2396 Ph: (541) 451-2020	Brandyn Wyatt, OD 90 Market St Ste 20, Lebanon, OR 97355-2396 Ph: (541) 451-2020

Reviews and Comments

Optometrist in Lebanon, OR

Dr. Matthew Wayne Knecht, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Mullins Dr Ste B3, Lebanon, OR 97355 Phone: 541-451-5808 Fax: 541-451-5813
Roger Munk, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785
Dennis Pearson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785
Luke Boran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St Ste 20, Lebanon, OR 97355 Phone: 541-451-2020 Fax: 541-451-1785
Dr. Ariene R Clark, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Market St Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785
Caitlin Squires, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785
Lifetime Vision Source Llc Optometrist Medicare: Medicare Enrolled Practice Location: 90 Market St, Ste 20, Lebanon, OR 97355 Phone: 541-451-1144 Fax: 541-451-1785

Brandyn Wyatt, OD - Medicare Optometrist in Lebanon, OR