Dr Wade Roger Demordaunt, OD in Rexburg, ID - Medicare Optometry Provider

Dr Wade Roger Demordaunt, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Rexburg, Idaho. He went to Illinois College Of Optometry At Chicago and graduated in 1996 and has 30 years of diverse experience with area of expertise as Optometry. His current practice location is 1450 N 2nd E, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 497-6406.

Dr Wade Roger Demordaunt is licensed to practice in Idaho (license number ODP-959) 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 1275591711.

Contact Information

	Dr Wade Roger Demordaunt, OD
	1450 N 2nd E, Rexburg, ID 83440-5131
	(208) 497-6406
	(208) 359-3007

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wade Roger Demordaunt
Gender	Male
Speciality	Optometry
Experience	30 Years
Location	1450 N 2nd E, Rexburg, Idaho
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 Wade Roger Demordaunt attended and graduated from Illinois College Of Optometry At Chicago in 1996

NPI Data:

NPI Number: 1275591711
Provider Enumeration Date: 05/03/2006
Last Update Date: 02/01/2016

Medicare PECOS Information:

PECOS PAC ID: 2860622875
Enrollment ID: I20160216000142

Medical Identifiers

Medical identifiers for Dr Wade Roger Demordaunt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275591711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	ODP-959 (Idaho)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	351670-9934 (Utah)	Secondary
152WC0802X	Optometrist - Corneal And Contact Management	1853 (Arizona)	Secondary
152W00000X	Optometrist	14349 (California)	Secondary

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 Wade Roger Demordaunt allows following entities to bill medicare on his behalf.

Provider Name	Diamond Peak Idaho
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588039127 PECOS PAC ID: 7618270612 Enrollment ID: O20160126001074

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 Wade Roger Demordaunt 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 Wade Roger Demordaunt, OD Po Box 158, Rexburg, ID 83440-0158 Ph: (208) 497-6406	Dr Wade Roger Demordaunt, OD 1450 N 2nd E, Rexburg, ID 83440-5131 Ph: (208) 497-6406

Reviews and Comments

Optometrist in Rexburg, ID

Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025

Dr Wade Roger Demordaunt, OD - Medicare Optometrist in Rexburg, ID