Dr Brynn Peterson, OD - Medicare Optometrist in La Crosse, WI

Dr Brynn Peterson, OD is a medicare enrolled "Optometrist" provider in La Crosse, Wisconsin. She went to Pacific University - College Of Optometry and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eyecare Associates, Pc and her current practice location is 4622 Mormon Coulee Rd, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 788-9564.

Dr Brynn Peterson is licensed to practice in Wisconsin (license number 3407-35) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164774402.

Contact Information

Dr Brynn Peterson, OD
4622 Mormon Coulee Rd,
La Crosse, WI 54601
(608) 788-9564
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brynn Peterson
GenderFemale
SpecialityOptometry
Experience9 Years
Location4622 Mormon Coulee Rd, La Crosse, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brynn Peterson attended and graduated from Pacific University - College Of Optometry in 2015
  NPI Data:
  • NPI Number: 1164774402
  • Provider Enumeration Date: 10/10/2012
  • Last Update Date: 01/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9830405018
  • Enrollment ID: I20210706002543

Medical Identifiers

Medical identifiers for Dr Brynn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164774402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3407-35 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eyecare Associates, Pc06482393015

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 Brynn Peterson allows following entities to bill medicare on her behalf.
Provider NameEyecare Associates, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811077100
PECOS PAC ID: 0648239301
Enrollment ID: O20041007000501
Provider NameWest Fargo Eyecare Associates Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1871031153
PECOS PAC ID: 0244507754
Enrollment ID: O20170602002078

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 Brynn Peterson 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 AddressPractice Location Address
Dr Brynn Peterson, OD
4622 Mormon Coulee Rd,
La Crosse, WI 54601-8224

Ph: (608) 788-9564
Dr Brynn Peterson, OD
4622 Mormon Coulee Rd,
La Crosse, WI 54601

Ph: (608) 788-9564

Reviews and Comments


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Phone: 608-782-7127    Fax: 608-782-7124
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Family Vision Center Of La Crosse
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Medicare: Medicare Enrolled
Practice Location: 3424 Mormon Coulee Rd, Ste A, La Crosse, WI 54601
Phone: 608-788-4300    Fax: 608-788-4325

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.