Jacob G. Despain Od Pc in Cody, WY - Medicare Optometrist Provider

Jacob G. Despain Od Pc is a medicare enrolled "Optometrist" provider in Cody, Wyoming. Their current practice location is 1708 Stampede Ave, Cody, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 587-2404.

Jacob G. Despain Od Pc is licensed to practice in Wyoming (license number 327T) and it also participates in the medicare program. Jacob G. Despain Od Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104237601.

Contact Information

	Jacob G. Despain Od Pc
	1708 Stampede Ave, Cody, WY 82414-4829
	(307) 587-2404
	(307) 527-7368

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob G. Despain Od Pc
Type	Facility
Speciality	Optometrist
Location	1708 Stampede Ave, Cody, Wyoming
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104237601
Provider Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 4587880869
Enrollment ID: O20140722001917

Medical Identifiers

Medical identifiers for Jacob G. Despain Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104237601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	327T (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. Jacob G. Despain Od Pc acts as a billing entity for following providers:

Provider Name	Jacob G Despain
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1124284997 PECOS PAC ID: 6406914266 Enrollment ID: I20130611000812

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. Jacob G. Despain Od Pc 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
Jacob G. Despain Od Pc 1708 Stampede Ave, Cody, WY 82414-4829 Ph: (307) 587-2404	Jacob G. Despain Od Pc 1708 Stampede Ave, Cody, WY 82414-4829 Ph: (307) 587-2404

Reviews and Comments

Optometrist in Cody, WY

Dr. Jacob G Despain, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368
Dr. Jonathan Hartley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539
Dr. James Harvey Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 19th St, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539
Alisa K Stewart, OPTICIAN Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 110, Cody, WY 82414 Phone: 307-587-5788
Mr. Richard D Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1708 Stampede Ave, Cody, WY 82414 Phone: 307-587-2404 Fax: 307-527-7368
Dr. Terence John Cole, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1531 Bleistein, Cody, WY 82414 Phone: 307-587-4206 Fax: 307-587-5539

Jacob G. Despain Od Pc - Medicare Optometrist in Cody, WY