Mr Randy J Prestash, OD in Oconomowoc, WI - Medicare Optometrist Provider

Mr Randy J Prestash, OD is a medicare enrolled "Optometrist" provider in Oconomowoc, Wisconsin. His current practice location is 608 Summit Ave, Oconomowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 567-6565.

Mr Randy J Prestash is licensed to practice in Wisconsin (license number WI1780-035) 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 1760516256.

Contact Information

	Mr Randy J Prestash, OD
	608 Summit Ave, Oconomowoc, WI 53066-3841
	(262) 567-6565
	(262) 567-8214

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy J Prestash
Gender	Male
Speciality	Optometrist
Location	608 Summit Ave, Oconomowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760516256
Provider Enumeration Date: 03/15/2007
Last Update Date: 12/28/2012

Medicare PECOS Information:

PECOS PAC ID: 6406749803
Enrollment ID: I20101020001009

Medical Identifiers

Medical identifiers for Mr Randy J Prestash such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760516256	NPI	-	NPPES
38515200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	WI1780-035 (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. Mr Randy J Prestash allows following entities to bill medicare on his behalf.

Provider Name	Summit Eye Clinic Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679520845 PECOS PAC ID: 2062305469 Enrollment ID: O20040207000046

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. Mr Randy J Prestash 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
Mr Randy J Prestash, OD 608 Summit Ave, Oconomowoc, WI 53066-3841 Ph: (262) 567-6565	Mr Randy J Prestash, OD 608 Summit Ave, Oconomowoc, WI 53066-3841 Ph: (262) 567-6565

Reviews and Comments

Optometrist in Oconomowoc, WI

Dr. Dana S Mcguire, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 608 Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-6565
Perspective Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 105 E Wisconsin Ave, 206, Oconomowoc, WI 53066 Phone: 262-354-8179
Dr. James Joseph Baietto, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 712 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-2295
Joshua J Heinecke, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1280 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-567-3214
Oconomowoc Vision Clinic, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1674 Old Schoolhouse Rd, Suite 101, Oconomowoc, WI 53066 Phone: 262-567-2295 Fax: 262-567-0744
David Klement, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203a E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 262-567-2960 Fax: 262-567-1053
David Bjork, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1674 Old Schoolhouse Rd Ste 101, Oconomowoc, WI 53066 Phone: 262-354-0410 Fax: 262-567-0744

Mr Randy J Prestash, OD - Medicare Optometrist in Oconomowoc, WI