Dr Evan Lee Bragg, OD is a medicare enrolled "Optometrist" provider in Sulphur, Oklahoma. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Optometry. His current practice location is
1010 West 3rd St, Sulphur, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 622-2020.
Dr Evan Lee Bragg is licensed to practice in Oklahoma (license number 1100) 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 1811058589.
Healthcare Provider's Profile
| Full Name | Dr Evan Lee Bragg |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 39 Years |
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| Location | 1010 West 3rd St, Sulphur, Oklahoma |
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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:
- Dr Evan Lee Bragg graduated from medical school in 1985
NPI Data:
- NPI Number: 1811058589
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 06/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395852180
- Enrollment ID: I20101227000533
Medical Identifiers
Medical identifiers for Dr Evan Lee Bragg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811058589 | NPI | - | NPPES |
| 100765070A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1100 (Oklahoma) | 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 Evan Lee Bragg allows following entities to bill medicare on his behalf.
| Provider Name | Southern Oklahoma Eye Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184785867
PECOS PAC ID: 9133247513
Enrollment ID: O20101008000576 |
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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 Evan Lee Bragg 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 Evan Lee Bragg, OD
Po Box 499,
Sulphur, OK 73086-0499
Ph: (580) 622-2020 | Dr Evan Lee Bragg, OD
1010 West 3rd St,
Sulphur, OK 73086-0499
Ph: (580) 622-2020 |
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