Dr Matthew David Wickham, OD in O Fallon, MO - Medicare Optometrist Provider

Dr Matthew David Wickham, OD is a medicare enrolled "Optometrist" provider in O Fallon, Missouri. His current practice location is 3013 Winghaven Blvd, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 561-3937.

Dr Matthew David Wickham is licensed to practice in Missouri (license number T03134) 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 1083695803.

Contact Information

	Dr Matthew David Wickham, OD
	3013 Winghaven Blvd, O Fallon, MO 63368-3600
	(636) 561-3937
	(636) 561-4068

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew David Wickham
Gender	Male
Speciality	Optometrist
Location	3013 Winghaven Blvd, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083695803
Provider Enumeration Date: 11/09/2005
Last Update Date: 03/30/2012

Medicare PECOS Information:

PECOS PAC ID: 3870534209
Enrollment ID: I20050517000095

Medical Identifiers

Medical identifiers for Dr Matthew David Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083695803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T03134 (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 Matthew David Wickham allows following entities to bill medicare on his behalf.

Provider Name	Regional Eyecare Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043380652 PECOS PAC ID: 2961443395 Enrollment ID: O20050517000101

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 Matthew David Wickham 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 Matthew David Wickham, OD 3013 Winghaven Blvd, O Fallon, MO 63368-3600 Ph: (636) 561-3937	Dr Matthew David Wickham, OD 3013 Winghaven Blvd, O Fallon, MO 63368-3600 Ph: (636) 561-3937

Reviews and Comments

Optometrist in O Fallon, MO

Dr. Stephen D. Bollinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2946 Highway K, O Fallon, MO 63368 Phone: 636-240-1516
Crown Optical Optometrist Medicare: Medicare Enrolled Practice Location: 361 Winding Woods Ctr, Suite 8, O Fallon, MO 63366 Phone: 636-281-5367 Fax: 800-432-6004
Dr. Jennifer Croft, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3821 Veterans Memorial Pkwy, O Fallon, MO 63376 Phone: 636-928-1111
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2946 Highway K, O Fallon, MO 63368 Phone: 636-200-4393 Fax: 636-272-1323
Regional Eyecare Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3013 Winghaven Blvd, O Fallon, MO 63368 Phone: 636-561-3937 Fax: 636-561-4068
Dr. Jacqueline G Ladd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 E Pitman St, O Fallon, MO 63366 Phone: 636-272-1444

Dr Matthew David Wickham, OD - Medicare Optometrist in O Fallon, MO