Robert Vincent Wickes, OD is a medicare enrolled "Optometrist" provider in Montesano, Washington. His current practice location is
118 S Main St, Montesano, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 249-3485.
Robert Vincent Wickes is licensed to practice in Washington (license number 1272) 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 1215026489.
Healthcare Provider's Profile
| Full Name | Robert Vincent Wickes |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 118 S Main St, Montesano, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1215026489
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 12/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870624851
- Enrollment ID: I20100708000794
Medical Identifiers
Medical identifiers for Robert Vincent Wickes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215026489 | NPI | - | NPPES |
| 2012995 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1272 (Washington) | 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. Robert Vincent Wickes allows following entities to bill medicare on his behalf.
| Provider Name | Ryan Coyle Od Ps |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1063755676
PECOS PAC ID: 5597903229
Enrollment ID: O20130607000341 |
|---|
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. Robert Vincent Wickes 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 |
|---|
Robert Vincent Wickes, OD
118 S Main St,
Montesano, WA 98563-3709
Ph: (360) 249-3485 | Robert Vincent Wickes, OD
118 S Main St,
Montesano, WA 98563-3709
Ph: (360) 249-3485 |
Reviews and Comments