| Andrew J Baldus, OD | |
|
1700 W Paradise Dr, West Bend, WI 53095-9795 | |
| (414) 454-7734 | |
| Not Available |
| Full Name | Andrew J Baldus |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 31 Years |
| Location | 1700 W Paradise Dr, West Bend, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316924590 | NPI | - | NPPES |
| 10445 | Other | WI | NVA-MEDFORD |
| 39-1967186 | Other | WI | FEDERAL TAX ID-COLBY |
| 410046660 | Other | WI | RAILROAD MEDICARE-COLBY |
| 39-1229699 | Other | WI | FEDERAL TAX ID-MEDFORD |
| 391967186019 | Other | WI | BLUE CROSS BLUE SHIELD-CO |
| 410046659 | Other | WI | RAILROAD MEDICARE-MEDFORD |
| 1271670001 | Other | WI | DMERC-COLBY GROUP |
| 2616 | Other | WI | LICENSE |
| 38596900 | Medicaid | WI | |
| 391229699015 | Other | WI | BLUE CROSS BLUE SHIELD-ME |
| 0474980001 | Other | WI | DMERC-MEDFORD GROUP |
| 38715100 | Medicaid | WI | |
| 38715300 | Medicaid | WI | |
| 74812 | Other | WI | SECURITY HEALTH PLAN-COLB |
| 74813 | Other | WI | SECURITY HEALTH PLAN-MEDF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2616 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Country Eye Care Llc | 1254654742 | 5 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1105 |
| Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Provider Name | Lake Country Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457757288 PECOS PAC ID: 1254654742 Enrollment ID: O20150109000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Baldus, OD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (414) 454-7734 | Andrew J Baldus, OD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (414) 454-7734 |
West Bend Optical, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3720 W. Washington St., West Bend, WI 53095 Phone: 262-338-1800 Fax: 262-338-1947 | |
Visionworks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Main St., West Bend, WI 53095 Phone: 262-334-1925 | |
John F. Weaver, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 | |
Dr. John O Schroder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 | |
Haley Riesterer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1745 S Main St Unit 7, West Bend, WI 53095 Phone: 262-334-7077 | |
Advanced Focus Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1116 N Main St, West Bend, WI 53090 Phone: 262-366-6370 |