Dr Luke Dewey Brog, OD is a medicare enrolled "Optometrist" provider in Thayne, Wyoming. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Optometry. 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 |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 19 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 graduated from medical school in 2005
NPI Data:
- NPI Number: 1831262641
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7012935406
- Enrollment ID: I20051103001024
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 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 Luke Dewey Brog allows following entities to bill medicare on his behalf.
| Provider Name | Lower Valley Vision Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336212158
PECOS PAC ID: 2062430333
Enrollment ID: O20051104000331 |
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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 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 |
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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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