| Dr Mark W Wellnitz, OD | |
|
1201 Greeley Ave N # 3, Glencoe, MN 55336-2135 | |
| (320) 864-2020 | |
| (320) 864-6678 |
| Full Name | Dr Mark W Wellnitz |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 1201 Greeley Ave N # 3, Glencoe, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528374600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3209 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Eye Specialists, Llc | 9032010251 | 14 |
| Provider Name | Regional Eye Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962597096 PECOS PAC ID: 9032010251 Enrollment ID: O20040120000237 |
| Provider Name | Southwest Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679623862 PECOS PAC ID: 5698709491 Enrollment ID: O20050921000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark W Wellnitz, OD 330 Monroe St Ne, Apt 2, Minneapolis, MN 55413-2364 Ph: (608) 658-1571 | Dr Mark W Wellnitz, OD 1201 Greeley Ave N # 3, Glencoe, MN 55336-2135 Ph: (320) 864-2020 |
Dale E Nelson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1234 Greeley Ave N, Glencoe, MN 55336 Phone: 320-864-6111 Fax: 320-864-6134 | |
Dr. Aubree Thorseth, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020 | |
Southwest Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 Greeley Ave N # 3, Glencoe, MN 55336 Phone: 320-864-2020 Fax: 320-864-6684 |