Dr Matt L Grantham, OD is a medicare enrolled "Optometrist" provider in Wilburton, Oklahoma. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Optometry. His current practice location is
218 W Main St, Wilburton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 465-3780.
Dr Matt L Grantham is licensed to practice in Oklahoma (license number XXXX) 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 1255487393.
Healthcare Provider's Profile
| Full Name | Dr Matt L Grantham |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 25 Years |
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| Location | 218 W Main St, Wilburton, 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 Matt L Grantham graduated from medical school in 1999
NPI Data:
- NPI Number: 1255487393
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 02/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 2961619309
- Enrollment ID: I20120409000158
Medical Identifiers
Medical identifiers for Dr Matt L Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255487393 | NPI | - | NPPES |
| 200090590A | Medicaid | OK | |
| 100851340A | Medicaid | OK | |
| 100851340B | Medicaid | OK | |
| 200090590B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | XXXX (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 Matt L Grantham allows following entities to bill medicare on his behalf.
| Provider Name | Matt Grantham, Od, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124174966
PECOS PAC ID: 9234346677
Enrollment ID: O20120213000288 |
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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 Matt L Grantham 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 Matt L Grantham, OD
218 W Main St,
Wilburton, OK 74578-4046
Ph: (918) 465-3780 | Dr Matt L Grantham, OD
218 W Main St,
Wilburton, OK 74578-4046
Ph: (918) 465-3780 |
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