Dr Luke Dewey Brog, OD is a medicare enrolled "Optometrist" provider in Thayne, Wyoming. His current practice location is
122 Petersen Parkway, Suite 1, Thayne, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 883-4678.
Dr Luke Dewey Brog is licensed to practice in Wyoming (license number 296T) 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 1831262641.
Healthcare Provider's Profile
| Full Name | Dr Luke Dewey Brog |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 122 Petersen Parkway, Thayne, Wyoming |
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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 Luke Dewey Brog attended and graduated from in
NPI Data:
- NPI Number: 1831262641
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Luke Dewey Brog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831262641 | NPI | - | NPPES |
| 313773 | Other | WY | BLUE CROSS BLUE SHIELD |
| 285174 | Other | WY | ALTIUS HEALTH PLANS |
| 5646844 | Other | WY | CBSA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 296T (Wyoming) | Primary |
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 Luke Dewey Brog 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 Luke Dewey Brog, OD
Po Box 800,
Thayne, WY 83127-0800
Ph: (307) 883-4678 | Dr Luke Dewey Brog, OD
122 Petersen Parkway, Suite 1,
Thayne, WY 83127
Ph: (307) 883-4678 |
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