Dr Kevin Congdon, O D - Medicare Optometrist in Marinette, WI

Dr Kevin Congdon, O D is a medicare enrolled "Optometrist" provider in Marinette, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Congdon Optometry Inc and his current practice location is 3003 Cleveland Ave, Suite A, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 732-2101.

Dr Kevin Congdon is licensed to practice in Wisconsin (license number 2071-035) 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 1154447134.

Contact Information

Dr Kevin Congdon, O D
3003 Cleveland Ave, Suite A,
Marinette, WI 54143
(715) 732-2101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kevin Congdon
GenderMale
SpecialityOptometry
Experience39 Years
Location3003 Cleveland Ave, Marinette, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Congdon attended and graduated from Illinois College Of Optometry At Chicago in 1985
  NPI Data:
  • NPI Number: 1154447134
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 01/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8123203775
  • Enrollment ID: I20110426000662

Medical Identifiers

Medical identifiers for Dr Kevin Congdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154447134NPI-NPPES
38527200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2071-035 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Congdon Optometry Inc98302186762

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 Kevin Congdon allows following entities to bill medicare on his behalf.
Provider NameCongdon Optometry Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003932088
PECOS PAC ID: 9830218676
Enrollment ID: O20110426000637

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 Kevin Congdon 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 Kevin Congdon, O D
W1417 Autumn Wood Ln,
Marinette, WI 54143-9417

Ph: (715) 732-9110
Dr Kevin Congdon, O D
3003 Cleveland Ave, Suite A,
Marinette, WI 54143

Ph: (715) 732-2101

Reviews and Comments


Optometrist in Marinette, WI

Congdon Optometry Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3003 Cleveland Ave, Suite A, Marinette, WI 54143
Phone: 715-732-2101    
Dr. Steven Lee Nottleson, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1545 Main St, Marinette, WI 54143
Phone: 715-735-3012    Fax: 715-735-3636
Corgan Vision Clinic, S.c.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2706 Cahill Rd Ste E, Marinette, WI 54143
Phone: 715-330-5570    Fax: 715-330-5369
Dr. Andrew Congdon, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3003 Cleveland Ave, A, Marinette, WI 54143
Phone: 920-883-0632    
Alex J Schoen, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1507 Main St, Marinette, WI 54143
Phone: 715-735-9593    
Dr. Timothy Corgan, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1400 University Dr, Suite 101, Marinette, WI 54143
Phone: 715-732-4181    

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.