Dr Jonathan Tyler Thayer, OD in Wentzville, MO - Medicare Optometrist Provider

Dr Jonathan Tyler Thayer, OD is a medicare enrolled "Optometrist" provider in Wentzville, Missouri. His current practice location is 1894 Wentzville Pkwy, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 887-4000.

Dr Jonathan Tyler Thayer is licensed to practice in Missouri (license number 2024019038) 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 1124718689.

Contact Information

	Dr Jonathan Tyler Thayer, OD
	1894 Wentzville Pkwy, Wentzville, MO 63385-3820
	(636) 887-4000
	(636) 887-4095

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Tyler Thayer
Gender	Male
Speciality	Optometrist
Location	1894 Wentzville Pkwy, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124718689
Provider Enumeration Date: 05/09/2023
Last Update Date: 05/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1254879968
Enrollment ID: I20240813002126

Medical Identifiers

Medical identifiers for Dr Jonathan Tyler Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124718689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2024019038 (Missouri)	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 Jonathan Tyler Thayer allows following entities to bill medicare on his behalf.

Provider Name	Clarkson Optometry Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232

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 Jonathan Tyler Thayer 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 Jonathan Tyler Thayer, OD 15933 Clayton Rd, Ballwin, MO 63011-2172 Ph: (636) 200-4393	Dr Jonathan Tyler Thayer, OD 1894 Wentzville Pkwy, Wentzville, MO 63385-3820 Ph: (636) 887-4000

Reviews and Comments

Optometrist in Wentzville, MO

Abby Kilgore Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1950 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-639-5004 Fax: 800-432-6004
Dr. Diane Marie Jessen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1894 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-377-2054 Fax: 636-377-2056
William E. Schultz, Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1971 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-639-1855 Fax: 639-390-3959
Toebben Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 661 Glenshee Dr, Wentzville, MO 63385 Phone: 636-359-7657
Clarkson Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1894 Wentzville Parkway, Wentzville, MO 63385 Phone: 636-200-4393 Fax: 636-887-4095
Dr. Abby C. Kilgore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 Wentzville Pkwy, Wentzville, MO 63385 Phone: 314-994-4399 Fax: 800-432-6004

Dr Jonathan Tyler Thayer, OD - Medicare Optometrist in Wentzville, MO