Dr Annette J Wilde, OD in Menasha, WI - Medicare Optometrist Provider

Dr Annette J Wilde, OD is a medicare enrolled "Optometrist" provider in Menasha, Wisconsin. Her current practice location is 1255 Appleton Rd, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 722-6872.

Dr Annette J Wilde is licensed to practice in Wisconsin (license number 2869-035) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205829942.

Contact Information

	Dr Annette J Wilde, OD
	1255 Appleton Rd, Menasha, WI 54952-1501
	(920) 722-6872
	(920) 722-6335

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Annette J Wilde
Gender	Female
Speciality	Optometrist
Location	1255 Appleton Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205829942
Provider Enumeration Date: 08/29/2005
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 1850356197
Enrollment ID: I20041129000142

Medical Identifiers

Medical identifiers for Dr Annette J Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205829942	NPI	-	NPPES
38615000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2869-035 (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. Dr Annette J Wilde allows following entities to bill medicare on her behalf.

Provider Name	Luxottica Of America Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174622583 PECOS PAC ID: 2567366180 Enrollment ID: O20040126000092

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. Dr Annette J Wilde 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
Dr Annette J Wilde, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872	Dr Annette J Wilde, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872

Reviews and Comments

Optometrist in Menasha, WI

Amy S Lahay, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 878 W Airport Rd, Menasha, WI 54952 Phone: 920-806-3005 Fax: 920-806-3004
Dr. Nathan Michael Larson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872
Wisconsin Eye Consultants S. C. Optometrist Medicare: Medicare Enrolled Practice Location: 878 W Airport Rd, Menasha, WI 54952 Phone: 920-806-3005
Ms. Megan Louise Thistle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 878 W Airport Rd, Menasha, WI 54952 Phone: 920-806-3005 Fax: 920-806-3004
Dr. Charles J Burgess, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Appleton Rd, Menasha, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335
Community Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335

Dr Annette J Wilde, OD - Medicare Optometrist in Menasha, WI