Dustin Michael Weidert, OD is a medicare enrolled "Optometrist" provider in Lutcher, Louisiana. His current practice location is
2468 Louisiana Ave, Lutcher, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 869-5043.
Dustin Michael Weidert is licensed to practice in Louisiana (license number 1974-920AT) 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 1083341515.
Healthcare Provider's Profile
Full Name | Dustin Michael Weidert |
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Gender | Male |
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Speciality | Optometrist |
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Location | 2468 Louisiana Ave, Lutcher, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083341515
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446634729
- Enrollment ID: I20220906001821
Medical Identifiers
Medical identifiers for Dustin Michael Weidert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083341515 | NPI | - | NPPES |
1974-920AT | Other | LA | LA OD LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1974-920AT (Louisiana) | 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. Dustin Michael Weidert allows following entities to bill medicare on his behalf.
Provider Name | Williamson Eye Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1699812909 PECOS PAC ID: 9335131192 Enrollment ID: O20040401000144 |
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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. Dustin Michael Weidert 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 |
Dustin Michael Weidert, OD 550 Connell Park Ln, Baton Rouge, LA 70806-6539 Ph: (225) 924-2020 | Dustin Michael Weidert, OD 2468 Louisiana Ave, Lutcher, LA 70071-5411 Ph: (225) 869-5043 |
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