Dr Jolie Denise Legate, OD in Mequon, WI - Medicare Optometrist Provider

Dr Jolie Denise Legate, OD is a medicare enrolled "Optometrist" provider in Mequon, Wisconsin. Her current practice location is 10800 N Port Washington Rd, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 241-4848.

Dr Jolie Denise Legate is licensed to practice in Wisconsin (license number 3720-35) 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 1417615600.

Contact Information

	Dr Jolie Denise Legate, OD
	10800 N Port Washington Rd, Mequon, WI 53092-5007
	(262) 241-4848
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jolie Denise Legate
Gender	Female
Speciality	Optometrist
Location	10800 N Port Washington Rd, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417615600
Provider Enumeration Date: 12/04/2021
Last Update Date: 12/12/2021

Medicare PECOS Information:

PECOS PAC ID: 7012309503
Enrollment ID: I20220112002678

Medical Identifiers

Medical identifiers for Dr Jolie Denise Legate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417615600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3720-35 (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 Jolie Denise Legate allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Wisconsin Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001

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 Jolie Denise Legate 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 Jolie Denise Legate, OD 1128 Coprinus Dr, Green Bay, WI 54313-4210 Ph: (920) 471-7214	Dr Jolie Denise Legate, OD 10800 N Port Washington Rd, Mequon, WI 53092-5007 Ph: (262) 241-4848

Reviews and Comments

Optometrist in Mequon, WI

Pranaya Bista, Optometrist Medicare: Medicare Enrolled Practice Location: 10996 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-9870
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10800 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 Fax: 262-241-9865
David Zolot, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11340 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-0455 Fax: 262-240-0460
Janice Le, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11340 N. Pt. Washington Rd., Mequon, WI 53092 Phone: 262-240-0455
Lakeshore Eye Care Professionals, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10320 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-1919 Fax: 262-241-9046
Renee Haefs, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10938 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 Fax: 262-241-9865

Dr Jolie Denise Legate, OD - Medicare Optometrist in Mequon, WI