Lee Brock Wren, OD in Blackfoot, ID - Medicare Optometry Provider

Lee Brock Wren, OD is a medicare enrolled "Optometrist" provider in Blackfoot, Idaho. He went to Pacific University - College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. His current practice location is 715 W Judicial St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-2210.

Lee Brock Wren is licensed to practice in Idaho (license number ODP-100148) 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 1215120696.

Contact Information

	Lee Brock Wren, OD
	715 W Judicial St, Blackfoot, ID 83221-2036
	(208) 785-2210
	(208) 785-2216

Map and Direction

Healthcare Provider's Profile

Full Name	Lee Brock Wren
Gender	Male
Speciality	Optometry
Experience	17 Years
Location	715 W Judicial St, Blackfoot, 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:

Lee Brock Wren attended and graduated from Pacific University - College Of Optometry in 2007

NPI Data:

NPI Number: 1215120696
Provider Enumeration Date: 08/20/2007
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7315025582
Enrollment ID: I20110121000881

Medical Identifiers

Medical identifiers for Lee Brock Wren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215120696	NPI	-	NPPES
1215120696	Medicaid	ID
66612099900001	Other	UT	BLUE CROSS/BLUE SHIELD
999000797009	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	66612099934 (Utah)	Secondary
152W00000X	Optometrist	ODP-100148 (Idaho)	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. Lee Brock Wren allows following entities to bill medicare on his behalf.

Provider Name	Bingham Family Vision Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336624030 PECOS PAC ID: 7315287505 Enrollment ID: O20190326001826

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. Lee Brock Wren 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
Lee Brock Wren, OD 715 W Judicial St, Blackfoot, ID 83221-2036 Ph: (208) 785-2210	Lee Brock Wren, OD 715 W Judicial St, Blackfoot, ID 83221-2036 Ph: (208) 785-2210

Reviews and Comments

Optometrist in Blackfoot, ID

Mr. Cody E Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 Se Main St, Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 Fax: 208-785-7337
Dr. Cameron Keith Housley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 720 N Meridian St Ste A, Blackfoot, ID 83221 Phone: 208-785-7274
Bingham Family Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216
Dennis N Marshall, O.D., P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392
Complete Family Eye Care, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274
Dennis N. Marshall, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392

Lee Brock Wren, OD - Medicare Optometrist in Blackfoot, ID