Minocqua Optical & Wellness Llc is a medicare enrolled "Technician/technologist - Optician" provider in Tomahawk, Wisconsin. Their current practice location is
1334 N. 4th Street, Suite 101, Tomahawk, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 224-2200.
Minocqua Optical & Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Minocqua Optical & Wellness Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1225307242.
Healthcare Provider's Profile
| Full Name | Minocqua Optical & Wellness Llc |
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| Type | Facility |
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| Speciality | Technician/technologist - Optician |
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| Location | 1334 N. 4th Street, Tomahawk, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225307242
- Provider Enumeration Date: 12/20/2011
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941644983
- Enrollment ID: O20240219001489
Medical Identifiers
Medical identifiers for Minocqua Optical & Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225307242 | NPI | - | NPPES |
| 420969 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Minocqua Optical & Wellness Llc acts as a billing entity for following providers:
| Provider Name | Roger S Lamoreux |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1487751939
PECOS PAC ID: 7810902830
Enrollment ID: I20060213000638 |
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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. Minocqua Optical & Wellness Llc 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 |
|---|
Minocqua Optical & Wellness Llc
1334 N 4th St Ste 101,
Tomahawk, WI 54487-2106
Ph: (715) 224-2200 | Minocqua Optical & Wellness Llc
1334 N. 4th Street, Suite 101,
Tomahawk, WI 54487-2137
Ph: (715) 224-2200 |
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