Dr Steven Ticknor, OD in Kenosha, WI - Medicare Optometrist Provider

Dr Steven Ticknor, OD is a medicare enrolled "Optometrist" provider in Kenosha, Wisconsin. His current practice location is 3621 Market Ln, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 658-8119.

Dr Steven Ticknor is licensed to practice in Wisconsin (license number 3810-35) 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 1174260715.

Contact Information

	Dr Steven Ticknor, OD
	3621 Market Ln, Kenosha, WI 53144-1553
	(262) 658-8119
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Steven Ticknor
Gender	Male
Speciality	Optometrist
Location	3621 Market Ln, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174260715
Provider Enumeration Date: 05/16/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6002290202
Enrollment ID: I20220908000112

Medical Identifiers

Medical identifiers for Dr Steven Ticknor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174260715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3810-35 (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 Steven Ticknor allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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 Steven Ticknor 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 Steven Ticknor, OD 365 N Halsted St Apt 1011, Chicago, IL 60661-1374 Ph: () -	Dr Steven Ticknor, OD 3621 Market Ln, Kenosha, WI 53144-1553 Ph: (262) 658-8119

Reviews and Comments

Optometrist in Kenosha, WI

Dr. Ayman Tabani, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9160 76th St Unit C, Kenosha, WI 53158 Phone: 262-808-4274
James R Kriege, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5300 52nd St, Kenosha, WI 53144 Phone: 262-658-8119 Fax: 262-658-8261
Sterling At Pershing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7532 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-2400 Fax: 262-694-9456
Dr. Laurie Ann Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6125 Green Bay Rd, Suite 800, Kenosha, WI 53142 Phone: 262-654-0726 Fax: 262-654-4365
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2305 30th Ave, Kenosha, WI 53144 Phone: 262-597-2020 Fax: 262-597-5452
Dr. James R Ferwerda, M.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7802 5th Ave, Kenosha, WI 53143 Phone: 262-658-2919

Dr Steven Ticknor, OD - Medicare Optometrist in Kenosha, WI