Dr Sandra K Dolphin, OD is a medicare enrolled "Optometrist" provider in St Croix Falls, Wisconsin. She went to University Of Missouri St Louis - School Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. She is a member of the group practice St Croix Falls Eye Associates Inc and her current practice location is
213 S Adams St, St Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 483-3259.
Dr Sandra K Dolphin is licensed to practice in Wisconsin (license number 2589-035) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205863693.
Healthcare Provider's Profile
| Full Name | Dr Sandra K Dolphin |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 213 S Adams St, St Croix Falls, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sandra K Dolphin attended and graduated from University Of Missouri St Louis - School Of Optometry in 1994
NPI Data:
- NPI Number: 1205863693
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 10/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 9133192305
- Enrollment ID: I20040817000587
Medical Identifiers
Medical identifiers for Dr Sandra K Dolphin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205863693 | NPI | - | NPPES |
| 22-02486 | Other | WI | MEDICA/SELECT CARE |
| HP26431 | Other | WI | HEALTH PARTNERS |
| 97969-1007552 | Other | WI | PREFERRED ONE |
| 5173080001 | Other | | DMEPOS |
| P00175525 | Other | WI | RAILROAD MEDICARE |
| 38623500 | Medicaid | WI | |
| 538722180 | Other | MN | MN MA |
| 270L2DO | Other | WI | BCBS MN |
| 511297 | Other | WI | NVA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2589-035 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Croix Falls Eye Associates Inc | 0244203412 | 2 |
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 Sandra K Dolphin allows following entities to bill medicare on her behalf.
| Provider Name | St Croix Falls Eye Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134259260
PECOS PAC ID: 0244203412
Enrollment ID: O20040816001181 |
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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 Sandra K Dolphin 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 Sandra K Dolphin, OD
213 South Adams Street,
St Croix Falls, WI 54024
Ph: (715) 483-3259 | Dr Sandra K Dolphin, OD
213 S Adams St,
St Croix Falls, WI 54024
Ph: (715) 483-3259 |
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