Dr Brian L Meckelberg, OD is a medicare enrolled "Optometrist" provider in Wautoma, Wisconsin. He went to Southern College Of Optometry and graduated in 1984 and has 42 years of diverse experience with area of expertise as Optometry. His current practice location is
N2577 Plaza Rd, Wautoma, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 787-3837.
Dr Brian L Meckelberg is licensed to practice in Wisconsin (license number 2056) 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 1013993393.
Healthcare Provider's Profile
| Full Name | Dr Brian L Meckelberg |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 42 Years |
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| Location | N2577 Plaza Rd, Wautoma, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian L Meckelberg attended and graduated from Southern College Of Optometry in 1984
NPI Data:
- NPI Number: 1013993393
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 07/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 3678769759
- Enrollment ID: I20101201000782
Medical Identifiers
Medical identifiers for Dr Brian L Meckelberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013993393 | NPI | - | NPPES |
| 38525000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2056 (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 Brian L Meckelberg allows following entities to bill medicare on his behalf.
| Provider Name | Wautoma Eye Clinic S.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1972628584
PECOS PAC ID: 8325234404
Enrollment ID: O20101201000750 |
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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. Dr Brian L Meckelberg 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 |
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Dr Brian L Meckelberg, OD
Po Box 366, N2577 Plaza Rd,
Wautoma, WI 54982-0366
Ph: (920) 787-3837 | Dr Brian L Meckelberg, OD
N2577 Plaza Rd,
Wautoma, WI 54982-7706
Ph: (920) 787-3837 |
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