Eric Wyatt, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Lawton, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Cancer Centers Of Southwest Oklahoma, Llc and his current practice location is
104 Nw 31st St, Lawton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 536-2121.
Eric Wyatt is licensed to practice in Oklahoma (license number 19537) 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 1417007139.
Physician's Profile
| Full Name | Eric Wyatt |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 30 Years |
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| Location | 104 Nw 31st St, Lawton, 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:
- Eric Wyatt attended and graduated from University Of Oklahoma College Of Medicine in 1994
NPI Data:
- NPI Number: 1417007139
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 09/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 8729975438
- Enrollment ID: I20040303000697
Medical Identifiers
Medical identifiers for Eric Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417007139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 19537 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cancer Centers Of Southwest Oklahoma, Llc | 7810065323 | 15 |
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. Eric Wyatt allows following entities to bill medicare on his behalf.
| Entity Name | Cancer Centers Of Southwest Oklahoma, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073787792
PECOS PAC ID: 7810065323
Enrollment ID: O20100308000391 |
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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. Eric 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 |
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Eric Wyatt, MD
104 Nw 31st St,
Lawton, OK 73505-6100
Ph: (580) 536-2121 | Eric Wyatt, MD
104 Nw 31st St,
Lawton, OK 73505-6100
Ph: (580) 536-2121 |
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