Leslie D Thornburg, OD - Medicare Optometrist in Spooner, WI

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Leslie D Thornburg, OD is a medicare enrolled "Optometrist" provider in Spooner, Wisconsin. His current practice location is W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 635-3127.

Leslie D Thornburg is licensed to practice in Wisconsin (license number 1515035) 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 1134101397.

Contact Information

Leslie D Thornburg, OD
W7164 Green Valley Rd, Indianhead Eye Clinic,
Spooner, WI 54801-6605
(715) 635-3127
(715) 635-3316

Map and Direction




Healthcare Provider's Profile

Full NameLeslie D Thornburg
GenderMale
SpecialityOptometrist
LocationW7164 Green Valley Rd, Spooner, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134101397
  • Provider Enumeration Date: 11/15/2005
  • Last Update Date: 01/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5698809606
  • Enrollment ID: I20100812000769

Medical Identifiers

Medical identifiers for Leslie D Thornburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134101397NPI-NPPES
38561400MedicaidWI
410028270OtherPALMETTO RR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1515035 (Wisconsin)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. Leslie D Thornburg allows following entities to bill medicare on his behalf.
Provider NameThomas Eric Herzog Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902887508
PECOS PAC ID: 3072574813
Enrollment ID: O20041025000463

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. Leslie D Thornburg 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
Leslie D Thornburg, OD
Po Box 446,
Spooner, WI 54801-0446

Ph: (715) 635-3127		Leslie D Thornburg, OD
W7164 Green Valley Rd, Indianhead Eye Clinic,
Spooner, WI 54801-6605

Ph: (715) 635-3127

Reviews and Comments


Optometrist in Spooner, WI

Mr. Nathan Karl Eichhorst, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 130 Walnut Street, Spooner, WI 54801
Phone: 715-635-2020    Fax: 715-635-2956
Dr. Dawn Lenee Reed, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: W7164 Green Valley Rd, Spooner, WI 54801
Phone: 715-635-3127    Fax: 715-635-3316

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.