Jake T Wysiadlowski, in Nashville, TN - Medicare Optometrist Provider

Jake T Wysiadlowski, is a medicare enrolled "Optometrist" provider in Nashville, Tennessee. His current practice location is 1801 W End Ave Ste 1150, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 321-8881.

Jake T Wysiadlowski is licensed to practice in Tennessee (license number 3768) 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 1255008462.

Contact Information

	Jake T Wysiadlowski,
	1801 W End Ave Ste 1150, Nashville, TN 37203-2528
	(615) 321-8881
	(615) 321-8874

Map and Direction

Healthcare Provider's Profile

Full Name	Jake T Wysiadlowski
Gender	Male
Speciality	Optometrist
Location	1801 W End Ave Ste 1150, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255008462
Provider Enumeration Date: 08/25/2021
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 2769868959
Enrollment ID: I20220926000486

Medical Identifiers

Medical identifiers for Jake T Wysiadlowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255008462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10378 (Texas)	Secondary
152W00000X	Optometrist	3768 (Tennessee)	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. Jake T Wysiadlowski allows following entities to bill medicare on his behalf.

Provider Name	Wang Vision Institute, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154445591 PECOS PAC ID: 4183775125 Enrollment ID: O20090702000068

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. Jake T Wysiadlowski 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
Jake T Wysiadlowski, 1801 W End Ave Ste 1150, Nashville, TN 37203-2528 Ph: (615) 321-8881	Jake T Wysiadlowski, 1801 W End Ave Ste 1150, Nashville, TN 37203-2528 Ph: (615) 321-8881

Reviews and Comments

Optometrist in Nashville, TN

Dr. Christopher Bright, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 Great Circle Rd, Suite 234, Nashville, TN 37228 Phone: 615-577-1704
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Chase Terrell Parker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1300 Antioch Pike, Nashville, TN 37211 Phone: 615-942-8893
Green Hills Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4301 Hillsboro Pike, Ste 330, Nashville, TN 37215 Phone: 615-297-7547
Nida Steiner, O.d. Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6553 Rolling Fork Dr, Nashville, TN 37205 Phone: 615-887-5760
Dr. Connie Marie James, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2126 Abbott Martin Rd, Suite 109, Nashville, TN 37215 Phone: 615-269-3500 Fax: 615-750-5943

Jake T Wysiadlowski, - Medicare Optometrist in Nashville, TN