Dr Daniel Carl Pridemore, OD - Medicare Optometrist in West Allis, WI

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Dr Daniel Carl Pridemore, OD is a medicare enrolled "Optometrist" provider in West Allis, Wisconsin. His current practice location is 2761 S 108th St, West Allis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 321-2425.

Dr Daniel Carl Pridemore is licensed to practice in Wisconsin (license number 3270-35) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104189877.

Contact Information

Dr Daniel Carl Pridemore, OD
2761 S 108th St,
West Allis, WI 53227-3232
(414) 321-2425
(414) 321-4647

Map and Direction




Healthcare Provider's Profile

Full NameDr Daniel Carl Pridemore
GenderMale
SpecialityOptometrist
Location2761 S 108th St, West Allis, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104189877
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 06/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9335390947
  • Enrollment ID: I20121107000718

Medical Identifiers

Medical identifiers for Dr Daniel Carl Pridemore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104189877NPI-NPPES
020677066MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3270-35 (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 Daniel Carl Pridemore allows following entities to bill medicare on his behalf.
Provider NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699
Provider NameVisionworks Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154699445
PECOS PAC ID: 4385639616
Enrollment ID: O20120517000227

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 Daniel Carl Pridemore 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 Daniel Carl Pridemore, OD
2761 S 108th St,
West Allis, WI 53227-3232

Ph: () -		Dr Daniel Carl Pridemore, OD
2761 S 108th St,
West Allis, WI 53227-3232

Ph: (414) 321-2425

Reviews and Comments


Optometrist in West Allis, WI

John Laczkowski, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2761 S 108th St, West Allis, WI 53227
Phone: 414-321-2425    Fax: 414-321-4647
Jeremy Kemmerling, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1401 S 108th St, West Allis, WI 53214
Phone: 414-476-0200    
Dr. Jeffery A Braun, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 555 S 108th St, West Allis, WI 53214
Phone: 414-566-3803    Fax: 414-566-3866
Sara C Falter, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 555 S 108th St, West Allis, WI 53214
Phone: 414-566-3050    
Dr. Sunya Masood, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2761 S 108th St, West Allis, WI 53227
Phone: 414-321-2425    
Dr. David L Waterfill, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1401 S 108th St, West Allis, WI 53214
Phone: 414-476-0200    Fax: 414-476-1199

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.