Dr Jonathan Tyler Thayer, OD in Overland, MO - Medicare Optometrist Provider

Dr Jonathan Tyler Thayer, OD is a medicare enrolled "Optometrist" provider in Overland, Missouri. His current practice location is 9082 Overland Plz, Overland, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 227-1132.

Dr Jonathan Tyler Thayer is licensed to practice in Missouri (license number 2024019038) 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 1124718689.

Contact Information

	Dr Jonathan Tyler Thayer, OD
	9082 Overland Plz, Overland, MO 63114-6122
	(314) 227-1132
	(314) 227-1133

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Tyler Thayer
Gender	Male
Speciality	Optometrist
Location	9082 Overland Plz, Overland, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124718689
Provider Enumeration Date: 05/09/2023
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1254879968
Enrollment ID: I20240813002126

Medical Identifiers

Medical identifiers for Dr Jonathan Tyler Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124718689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2024019038 (Missouri)	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 Jonathan Tyler Thayer allows following entities to bill medicare on his behalf.

Provider Name	Clarkson Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232

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 Jonathan Tyler Thayer 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 Jonathan Tyler Thayer, OD 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 Ph: (314) 375-2020	Dr Jonathan Tyler Thayer, OD 9082 Overland Plz, Overland, MO 63114-6122 Ph: (314) 227-1132

Reviews and Comments

Optometrist in Overland, MO

Dr. Phillip Mark Lueckenhoff, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2533 Woodson Rd, Overland, MO 63114 Phone: 314-423-3874
Dr. Eisha Kaur Multani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 314-227-1132 Fax: 314-227-1133
Fyizza Abbas, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 314-227-1132 Fax: 314-227-1133
Optometrist Medicare: Medicare Enrolled Practice Location: 2040 Woodson Rd, Suite 100, Overland, MO 63114 Phone: 314-427-1519
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 636-200-4393 Fax: 314-227-1133
Daniel D Seibert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodson Rd, Suite 100, Overland, MO 63114 Phone: 314-427-1519 Fax: 314-427-1522

Dr Jonathan Tyler Thayer, OD - Medicare Optometrist in Overland, MO