Dr Trey Dean Carlisle, OD is a medicare enrolled "Optometrist" provider in Beaver, Oklahoma. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Optometry. His current practice location is
712 Ave. A, Beaver, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 625-2020.
Dr Trey Dean Carlisle is licensed to practice in Oklahoma (license number 2685) 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 1629357116.
Healthcare Provider's Profile
| Full Name | Dr Trey Dean Carlisle |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 712 Ave. A, Beaver, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Trey Dean Carlisle graduated from medical school in 2011
NPI Data:
- NPI Number: 1629357116
- Provider Enumeration Date: 08/15/2011
- Last Update Date: 06/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 6901072420
- Enrollment ID: I20120105000417
Medical Identifiers
Medical identifiers for Dr Trey Dean Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629357116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2685 (Oklahoma) | 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 Trey Dean Carlisle allows following entities to bill medicare on his behalf.
| Provider Name | Frederick Eye Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164585758
PECOS PAC ID: 3779688171
Enrollment ID: O20070413000055 |
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| Provider Name | Carlisle Vision Clinic Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407130313
PECOS PAC ID: 5294901401
Enrollment ID: O20120110000080 |
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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. Dr Trey Dean Carlisle 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 |
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Dr Trey Dean Carlisle, OD
712 Avenue A,
Beaver, OK 73932-3101
Ph: (580) 625-2020 | Dr Trey Dean Carlisle, OD
712 Ave. A,
Beaver, OK 73932
Ph: (580) 625-2020 |
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