Dr Eliza Marguerite Whatley, OD - Medicare Optometrist in Jackson, WY

Dr Eliza Marguerite Whatley, OD is a medicare enrolled "Optometrist" provider in Jackson, Wyoming. Her current practice location is 80 W Broadway Ave Apt 104, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 733-1441.

Dr Eliza Marguerite Whatley is licensed to practice in Wyoming (license number 447T) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376299040.

Contact Information

Dr Eliza Marguerite Whatley, OD
80 W Broadway Ave Apt 104,
Jackson, WY 83001-8215
(307) 733-1441
(307) 734-8232



Healthcare Provider's Profile

Full NameDr Eliza Marguerite Whatley
GenderFemale
SpecialityOptometrist
Location80 W Broadway Ave Apt 104, Jackson, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376299040
  • Provider Enumeration Date: 02/22/2022
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032594882
  • Enrollment ID: I20240111002849

Medical Identifiers

Medical identifiers for Dr Eliza Marguerite Whatley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376299040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 12793207-9934 (Utah)Secondary
152W00000XOptometrist 4280 (Montana)Secondary
152W00000XOptometrist OEG004119 (Pennsylvania)Secondary
152W00000XOptometrist 0618003187 (Virginia)Secondary
152W00000XOptometrist ODP-100599 (Idaho)Secondary
152W00000XOptometrist OD61409137 (Washington)Secondary
152W00000XOptometrist 447T (Wyoming)Primary

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 Eliza Marguerite Whatley 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 Eliza Marguerite Whatley, OD
2290 King Ave W,
Billings, MT 59102-7415

Ph: (406) 652-3192
Dr Eliza Marguerite Whatley, OD
80 W Broadway Ave Apt 104,
Jackson, WY 83001-8215

Ph: (307) 733-1441

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› Verified 5 days ago


Optometrist in Jackson, WY

Dr. Chad Roberts, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 110 Buffalo Way, Ste A, Jackson, WY 83002
Phone: 307-733-4905    Fax: 307-733-4906
Grand Teton Eye & Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 110 Buffalo Way Ste A, Jackson, WY 83002
Phone: 307-733-4905    
Bonnie Christine Kovacs, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Broadway Ave Ste 214, Jackson, WY 83001
Phone: 307-733-1051    
Wyoming Eye Care Inc Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 110 Buffalo Way St A, Jackson, WY 83002
Phone: 307-733-4905    Fax: 307-733-4906

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