Dr William Joseph Wyatt, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Kimball, Nebraska. His current practice location is
505 S Burg St, Kimball, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 235-1951.
Dr William Joseph Wyatt is licensed to practice in Nebraska (license number 20963) 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 1184728537.
Physician's Profile
| Full Name | Dr William Joseph Wyatt |
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| Gender | Male |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 505 S Burg St, Kimball, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184728537
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103959606
- Enrollment ID: I20190628000606
Medical Identifiers
Medical identifiers for Dr William Joseph Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184728537 | NPI | - | NPPES |
| 113999100 | Medicaid | WY | |
| 102753300 | Other | WY | WORKERS COMP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 20963 (Nebraska) | Secondary |
| 208200000X | Plastic Surgery | 6212A (Wyoming) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 6212A (Wyoming) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 20963 (Nebraska) | Secondary |
| 208600000X | Surgery | 6212A (Wyoming) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 6212A (Wyoming) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 20963 (Nebraska) | 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 William Joseph Wyatt allows following entities to bill medicare on his behalf.
| Entity Name | Kimball County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326027160
PECOS PAC ID: 5799751004
Enrollment ID: O20040908000971 |
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| Entity Name | Kimball County Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1093780652
PECOS PAC ID: 5799751004
Enrollment ID: O20070222000526 |
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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 William Joseph Wyatt 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 |
|---|
Dr William Joseph Wyatt, MD
505 S Burg St,
Kimball, NE 69145-1313
Ph: (308) 235-1951 | Dr William Joseph Wyatt, MD
505 S Burg St,
Kimball, NE 69145-1313
Ph: (308) 235-1951 |
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