Dr Brant David Wommack, MD - Medicare Diagnostic Radiology in Bend, OR

  1. Home
  2. Radiology
  3. OR
  4. Bend
Dr Brant David Wommack, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bend, Oregon. He went to University Of Louisville School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Lake Health District, Bend Memorial Clinic Pc, Central Oregon Magnetic Resonance Imaging Llc, St Charles Health System Inc, Central Oregon Radiology Assoc Pc, Cascade Medical Imaging Llc and his current practice location is 1460 Ne Medical Ctr Dr, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-6633.

Dr Brant David Wommack is licensed to practice in Oregon (license number MD151046) 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 1023164613.

Contact Information

Dr Brant David Wommack, MD
1460 Ne Medical Ctr Dr,
Bend, OR 97701-6061
(541) 382-6633
(541) 382-2719

Map and Direction




Physician's Profile

Full NameDr Brant David Wommack
GenderMale
SpecialityDiagnostic Radiology
Experience22 Years
Location1460 Ne Medical Ctr Dr, Bend, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brant David Wommack attended and graduated from University Of Louisville School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1023164613
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911050877
  • Enrollment ID: I20101025001081

Medical Identifiers

Medical identifiers for Dr Brant David Wommack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023164613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD151046 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Medical Center - BendBend, ORHospital
St Charles PrinevillePrineville, ORHospital
Wallowa Memorial HospitalEnterprise, ORHospital
Harney District HospitalBurns, ORHospital
Blue Mountain HospitalJohn day, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Health District428462922137
Bend Memorial Clinic Pc7214936533208
Central Oregon Magnetic Resonance Imaging Llc822405800328
St Charles Health System Inc8729111513301
Central Oregon Radiology Assoc Pc933513209138
Cascade Medical Imaging Llc953714010834

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 Brant David Wommack allows following entities to bill medicare on his behalf.
Entity NameMorrow County Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770514481
PECOS PAC ID: 2365359296
Enrollment ID: O20040226001024
Entity NameCentral Oregon Radiology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590081
PECOS PAC ID: 9335132091
Enrollment ID: O20040407000799
Entity NameLake Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376698522
PECOS PAC ID: 4284629221
Enrollment ID: O20040419000549
Entity NameMorrow County Health District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376572099
PECOS PAC ID: 2365359296
Enrollment ID: O20061104000545
Entity NameBend Memorial Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699827477
PECOS PAC ID: 7214936533
Enrollment ID: O20061215000022
Entity NameSt Charles Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023331303
PECOS PAC ID: 8729111513
Enrollment ID: O20100730000227
Entity NameCascade Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932621588
PECOS PAC ID: 9537140108
Enrollment ID: O20171009003041
Entity NameCentral Oregon Magnetic Resonance Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114972155
PECOS PAC ID: 8224058003
Enrollment ID: O20171018001990

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 Brant David Wommack 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 AddressPractice Location Address
Dr Brant David Wommack, MD
1460 Ne Medical Ctr Dr,
Bend, OR 97701-6061

Ph: (541) 382-6633		Dr Brant David Wommack, MD
1460 Ne Medical Ctr Dr,
Bend, OR 97701-6061

Ph: (541) 382-6633

Reviews and Comments


Radiology Doctors in Bend, OR

Dr. Nicholas Song Boehling, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-5800    Fax: 541-706-6341
Dr. Casey George Curran, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-6633    Fax: 541-382-2719
Richard Rotondi, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2052 Ne 4th St, Bend, OR 97701
Phone: 541-280-2789    
Dr. Jeremy James Logan, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-6633    Fax: 541-383-4577
Steven Dean Kjobech, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-6633    Fax: 541-382-2719
Dr. David Krieves, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Ne Medical Center Dr, Bend, OR 97701
Phone: 541-382-6633    Fax: 541-382-9327

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.