Dr Gerald A Wankum, MD - Medicare Ophthalmology in Alton, IL

Dr Gerald A Wankum, MD is a medicare enrolled "Ophthalmology" physician in Alton, Illinois. His current practice location is 3 Professional Dr, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 465-2020.

Dr Gerald A Wankum is licensed to practice in Illinois (license number 036079558) 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 1689677254.

Contact Information

Dr Gerald A Wankum, MD
3 Professional Dr,
Alton, IL 62002-5067
(618) 465-2020
(618) 465-2046



Physician's Profile

Full NameDr Gerald A Wankum
GenderMale
SpecialityOphthalmology
Location3 Professional Dr, Alton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689677254
  • Provider Enumeration Date: 05/27/2005
  • Last Update Date: 06/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2365407244
  • Enrollment ID: I20100903000161

Medical Identifiers

Medical identifiers for Dr Gerald A Wankum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689677254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 036079558 (Illinois)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 Gerald A Wankum allows following entities to bill medicare on his behalf.
Entity NameSurevision Eye Centers Midwest Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699857912
PECOS PAC ID: 1850297904
Enrollment ID: O20040423000661

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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 Gerald A Wankum 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
Dr Gerald A Wankum, MD
320 Brookes Dr, Suite 111,
Hazelwood, MO 63042-2736

Ph: (314) 726-5669
Dr Gerald A Wankum, MD
3 Professional Dr,
Alton, IL 62002-5067

Ph: (618) 465-2020

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Ophthalmology Doctors in Alton, IL


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