Dr Monique Nicole Bennett Fasbender, OD is a medicare enrolled "Optometrist" provider in Reedsburg, Wisconsin. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice May Vision Center Llc and her current practice location is
251 2nd St, Reedsburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 524-4334.
Dr Monique Nicole Bennett Fasbender is licensed to practice in Wisconsin (license number 3667-35) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962808295.
Healthcare Provider's Profile
| Full Name | Dr Monique Nicole Bennett Fasbender |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 10 Years |
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| Location | 251 2nd St, Reedsburg, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Monique Nicole Bennett Fasbender graduated from medical school in 2014
NPI Data:
- NPI Number: 1962808295
- Provider Enumeration Date: 11/13/2014
- Last Update Date: 08/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961726625
- Enrollment ID: I20211018000711
Medical Identifiers
Medical identifiers for Dr Monique Nicole Bennett Fasbender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962808295 | NPI | - | NPPES |
| 3667-35 | Other | WI | WISCONSIN OPTOMETRIC LICENSE |
| 8606T | Other | TX | TEXAS OPTOMETRIC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 8606T (Texas) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 8606T (Texas) | Secondary |
| 152W00000X | Optometrist | 3667-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| May Vision Center Llc | 4486658242 | 3 |
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 Monique Nicole Bennett Fasbender allows following entities to bill medicare on her behalf.
| Provider Name | May Vision Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093737108
PECOS PAC ID: 4486658242
Enrollment ID: O20060908000441 |
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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 Monique Nicole Bennett Fasbender 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 Monique Nicole Bennett Fasbender, OD
251 2nd St,
Reedsburg, WI 53959-1610
Ph: (608) 524-4334 | Dr Monique Nicole Bennett Fasbender, OD
251 2nd St,
Reedsburg, WI 53959-1610
Ph: (608) 524-4334 |
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