Jake T Wysiadlowski, - Medicare Optometrist in Nashville, TN

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Jake T Wysiadlowski, is a medicare enrolled "Optometrist" provider in Nashville, Tennessee. His current practice location is 1801 W End Ave Ste 1150, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 321-8881.

Jake T Wysiadlowski is licensed to practice in Tennessee (license number 3768) 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 1255008462.

Contact Information

Jake T Wysiadlowski,
1801 W End Ave Ste 1150,
Nashville, TN 37203-2528
(615) 321-8881
(615) 321-8874

Map and Direction




Healthcare Provider's Profile

Full NameJake T Wysiadlowski
GenderMale
SpecialityOptometrist
Location1801 W End Ave Ste 1150, Nashville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255008462
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769868959
  • Enrollment ID: I20220926000486

Medical Identifiers

Medical identifiers for Jake T Wysiadlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255008462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 10378 (Texas)Secondary
152W00000XOptometrist 3768 (Tennessee)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. Jake T Wysiadlowski allows following entities to bill medicare on his behalf.
Provider NameWang Vision Institute, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154445591
PECOS PAC ID: 4183775125
Enrollment ID: O20090702000068

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. Jake T Wysiadlowski 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 AddressPractice Location Address
Jake T Wysiadlowski,
1801 W End Ave Ste 1150,
Nashville, TN 37203-2528

Ph: (615) 321-8881		Jake T Wysiadlowski,
1801 W End Ave Ste 1150,
Nashville, TN 37203-2528

Ph: (615) 321-8881

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.