Dr Chad Roberts, OD is a medicare enrolled "Optometrist" provider in Jackson, Wyoming. He went to Pacific University - College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. His current practice location is
110 Buffalo Way, Ste A, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 733-4905.
Dr Chad Roberts is licensed to practice in Wyoming (license number 289T) 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 1295863504.
Healthcare Provider's Profile
Full Name | Dr Chad Roberts |
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Gender | Male |
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Speciality | Optometry |
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Experience | 22 Years |
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Location | 110 Buffalo Way, Jackson, Wyoming |
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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. |
Medical Education and Training:
- Dr Chad Roberts attended and graduated from Pacific University - College Of Optometry in 2002
NPI Data:
- NPI Number: 1295863504
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688567167
- Enrollment ID: I20040609000148
Medical Identifiers
Medical identifiers for Dr Chad Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295863504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 289T (Wyoming) | 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 Chad Roberts allows following entities to bill medicare on his behalf.
Provider Name | Grand Teton Eye & Optical |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1306983655 PECOS PAC ID: 0446334908 Enrollment ID: O20080222000479 |
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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 Chad Roberts 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 Chad Roberts, OD Po Box 8460, Jackson, WY 83002-8460 Ph: (307) 733-4905 | Dr Chad Roberts, OD 110 Buffalo Way, Ste A, Jackson, WY 83002 Ph: (307) 733-4905 |
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