Hyrum Wahlquist, OD in Marianna, FL - Medicare Optometrist Provider

Hyrum Wahlquist, OD is a medicare enrolled "Optometrist" provider in Marianna, Florida. His current practice location is 4340 Lafayette St, Marianna, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 482-2336.

Hyrum Wahlquist is licensed to practice in Florida (license number OPC6285) 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 1003594375.

Contact Information

	Hyrum Wahlquist, OD
	4340 Lafayette St, Marianna, FL 32446-2916
	(850) 482-2336
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hyrum Wahlquist
Gender	Male
Speciality	Optometrist
Location	4340 Lafayette St, Marianna, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003594375
Provider Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6507226404
Enrollment ID: I20230724000825

Medical Identifiers

Medical identifiers for Hyrum Wahlquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003594375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC6285 (Florida)	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. Hyrum Wahlquist allows following entities to bill medicare on his behalf.

Provider Name	Eye Partners Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902837453 PECOS PAC ID: 8123016334 Enrollment ID: O20040505001088

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. Hyrum Wahlquist 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
Hyrum Wahlquist, OD 2800 Ross Clark Cir, Dothan, AL 36301-2040 Ph: (334) 793-2211	Hyrum Wahlquist, OD 4340 Lafayette St, Marianna, FL 32446-2916 Ph: (850) 482-2336

Reviews and Comments

Optometrist in Marianna, FL

Dr. Alan E Pelt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337
Mullis Eye Institute Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4320 5th Ave, Marianna, FL 32446 Phone: 850-526-7775 Fax: 850-763-6665
Pelt Eye Clinic, P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337
William Peacock Optometrist Medicare: Medicare Enrolled Practice Location: 2255 Highway 71, Marianna, FL 32448 Phone: 850-526-0067 Fax: 850-526-0069
Dr. David G Pelt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337
Jeffrey K. Davis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2922 Jefferson St, Marianna, FL 32446 Phone: 850-526-4550 Fax: 850-526-1200

Hyrum Wahlquist, OD - Medicare Optometrist in Marianna, FL