Dr Erich William Wanagat, OD is a medicare enrolled "Optometrist" provider in Vance Afb, Oklahoma. His current practice location is
527 Gott, Vance Afb, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 213-6171.
Dr Erich William Wanagat is licensed to practice in Indiana (license number 18003373B) 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 1568452043.
Healthcare Provider's Profile
| Full Name | Dr Erich William Wanagat |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 527 Gott, Vance Afb, Oklahoma |
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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: 1568452043
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355796285
- Enrollment ID: I20231013000149
Medical Identifiers
Medical identifiers for Dr Erich William Wanagat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568452043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 18003373A (Indiana) | Primary |
| 152W00000X | Optometrist | 18003373B (Indiana) | 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 Erich William Wanagat allows following entities to bill medicare on his behalf.
| Provider Name | Eastern Virginia Eye Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386824399
PECOS PAC ID: 9436328739
Enrollment ID: O20110802000687 |
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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 Erich William Wanagat 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 Erich William Wanagat, OD
2616 Edgewood Dr,
Enid, OK 73703-1542
Ph: (580) 213-7418 | Dr Erich William Wanagat, OD
527 Gott,
Vance Afb, OK 73703
Ph: (580) 213-6171 |
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