Dr Bryley Jae Banks, OD in Fort Smith, AR - Medicare Optometrist Provider

Dr Bryley Jae Banks, OD is a medicare enrolled "Optometrist" provider in Fort Smith, Arkansas. Her current practice location is 1021 S Waldron Rd, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (417) 629-0505.

Dr Bryley Jae Banks is licensed to practice in Arkansas (license number 2882) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124864111.

Contact Information

	Dr Bryley Jae Banks, OD
	1021 S Waldron Rd, Fort Smith, AR 72903-2549
	(417) 629-0505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bryley Jae Banks
Gender	Female
Speciality	Optometrist
Location	1021 S Waldron Rd, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124864111
Provider Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9032658257
Enrollment ID: I20240830002693

Medical Identifiers

Medical identifiers for Dr Bryley Jae Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124864111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2024020536 (Missouri)	Secondary
152W00000X	Optometrist	2882 (Arkansas)	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 Bryley Jae Banks allows following entities to bill medicare on her behalf.

Provider Name	Arkansas Vision Development Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942326244 PECOS PAC ID: 3072564814 Enrollment ID: O20050317000279

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 Bryley Jae Banks 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 Bryley Jae Banks, OD 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (479) 478-8860	Dr Bryley Jae Banks, OD 1021 S Waldron Rd, Fort Smith, AR 72903-2549 Ph: (417) 629-0505

Reviews and Comments

Optometrist in Fort Smith, AR

Dr. Clemit W Liles Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 S Zero St, Fort Smith, AR 72901 Phone: 479-763-1230 Fax: 479-777-4614
Ennen Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 3312 S 70th St, Fort Smith, AR 72903 Phone: 479-452-7800 Fax: 479-452-9486
Dr. Cameron Fredrick Boboth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-478-8860 Fax: 479-478-8860
J Steven Yaney Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4300 Rogers Ave, Greenpointe Center Suite 46, Fort Smith, AR 72903 Phone: 479-785-0010 Fax: 479-782-8478
Dr. Mark Allen Horne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Rogers Ave Ste 54, Fort Smith, AR 72903 Phone: 479-452-0928 Fax: 479-452-0978
Eye Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Dallas St, Fort Smith, AR 72903 Phone: 479-782-8892 Fax: 479-782-8840

Dr Bryley Jae Banks, OD - Medicare Optometrist in Fort Smith, AR