William R Omlie, MD in Edina, MN - Medicare Vascular Surgery

William R Omlie, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Edina, Minnesota. He went to University Of Minnesota Medical School and graduated in 1981 and has 43 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Fairview Express Care and his current practice location is 6405 France Ave S, Suite W440, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 927-7004.

William R Omlie is licensed to practice in Minnesota (license number 27471) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518997782.

Contact Information

	William R Omlie, MD
	6405 France Ave S, Suite W440, Edina, MN 55435-2163
	(952) 927-7004
	(952) 927-5146

Map and Direction

Physician's Profile

Full Name	William R Omlie
Gender	Male
Speciality	Vascular Surgery
Experience	43 Years
Location	6405 France Ave S, Edina, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William R Omlie attended and graduated from University Of Minnesota Medical School in 1981

NPI Data:

NPI Number: 1518997782
Provider Enumeration Date: 07/04/2006
Last Update Date: 04/19/2013

Medicare PECOS Information:

PECOS PAC ID: 3173518362
Enrollment ID: I20050608000077

Medical Identifiers

Medical identifiers for William R Omlie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518997782	NPI	-	NPPES
663788400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	27471 (Minnesota)	Secondary
2086S0129X	Surgery - Vascular Surgery	27471 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairview Southdale Hospital	Edina, MN	Hospital
Fairview Ridges Hospital	Burnsville, MN	Hospital
Fairview Northland Regional Hospital	Princeton, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1523

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. William R Omlie allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. William R Omlie 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
William R Omlie, MD 3400 W 66th St, Suite 350, Edina, MN 55435-2111 Ph: (952) 832-0805	William R Omlie, MD 6405 France Ave S, Suite W440, Edina, MN 55435-2163 Ph: (952) 927-7004

Reviews and Comments

Surgery Doctors in Edina, MN

David G Rustad, MD Surgery Medicare: Medicare Enrolled Practice Location: 7710 Computer Ave, #110, Edina, MN 55435 Phone: 952-835-9442 Fax: 952-835-9443
James H. Andrisevic, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4570 W 77th St, Suite 235, Edina, MN 55435 Phone: 952-832-0805 Fax: 952-832-5597
Paul L. Benn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146
Dr. Jonathan David Witzke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 220, Edina, MN 55435 Phone: 952-925-1111 Fax: 952-922-3446
Charles P. Nicholson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146
Dr. Robert Joseph Reese, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 6525 France Ave S, Suite, Edina, MN 55435 Phone: 803-808-8070 Fax: 803-808-8074
George J. Nemanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146

William R Omlie, MD - Medicare Vascular Surgery in Edina, MN