Dr Shane L Wynn, OD in Idaho Falls, ID - Medicare Optometry Provider

Dr Shane L Wynn, OD is a medicare enrolled "Optometrist" provider in Idaho Falls, Idaho. He went to Pacific University - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Idaho Eye Center Pa and his current practice location is 2025 E 17th St, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 524-2025.

Dr Shane L Wynn is licensed to practice in Idaho (license number 00P10064) 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 1427125491.

Contact Information

	Dr Shane L Wynn, OD
	2025 E 17th St, Idaho Falls, ID 83404
	(208) 524-2025
	(208) 529-1924

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shane L Wynn
Gender	Male
Speciality	Optometry
Experience	20 Years
Location	2025 E 17th St, Idaho Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shane L Wynn attended and graduated from Pacific University - College Of Optometry in 2004

NPI Data:

NPI Number: 1427125491
Provider Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890758502
Enrollment ID: I20041104000301

Medical Identifiers

Medical identifiers for Dr Shane L Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427125491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	00P10064 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Idaho Eye Center Pa	1557358025	8

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 Shane L Wynn allows following entities to bill medicare on his behalf.

Provider Name	Idaho Eye Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518021849 PECOS PAC ID: 1557358025 Enrollment ID: O20041104000375

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 Shane L Wynn 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 Shane L Wynn, OD 2025 E 17th St, Idaho Falls, ID 83404 Ph: (208) 524-2025	Dr Shane L Wynn, OD 2025 E 17th St, Idaho Falls, ID 83404 Ph: (208) 524-2025

Reviews and Comments

Optometrist in Idaho Falls, ID

Parkway Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559
Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366
Dr. Golden Thane Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Utah Ave, Idaho Falls, ID 83402 Phone: 208-528-8643
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333

Dr Shane L Wynn, OD - Medicare Optometrist in Idaho Falls, ID