Dr Cassandre Bezold Hetzer, OD is a
Optometrist based in Mayville, Wisconsin. Dr Cassandre Bezold Hetzer is licensed to practice in Wisconsin (license number 2915-035) and her current practice location is
935 Horicon St, Mayville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 387-3180.
NPI number for Dr Cassandre Bezold Hetzer is 1184626228 and her current mailing address is 614 Colgate Rd, Colgate, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184626228.
Healthcare Provider's Profile
| Full Name | Dr Cassandre Bezold Hetzer |
|---|
| Gender | Female |
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| Speciality | Optometrist |
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| Location | 935 Horicon St, Mayville, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184626228
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Cassandre Bezold Hetzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184626228 | NPI | - | NPPES |
| 386-17900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2915-035 (Wisconsin) | Primary |
| 152W00000X | Optometrist | OPT002017 (Georgia) | Secondary |
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 Cassandre Bezold Hetzer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cassandre Bezold Hetzer, OD
614 Colgate Rd,
Colgate, WI 53017-9323
Ph: (262) 628-2123 | Dr Cassandre Bezold Hetzer, OD
935 Horicon St,
Mayville, WI 53050-1428
Ph: (920) 387-3180 |
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