Spronk Vander Griend & Radke is a medicare enrolled "Optometrist" provider in Paullina, Iowa. Their current practice location is
116 E Broadway, Paullina, Iowa. You can reach out to their office (for appointments etc.) via phone at
(712) 448-2195.
Spronk Vander Griend & Radke is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Spronk Vander Griend & Radke
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1427029388.
Healthcare Provider's Profile
| Full Name | Spronk Vander Griend & Radke |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 116 E Broadway, Paullina, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427029388
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 02/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 4981696531
- Enrollment ID: O20040401001514
Medical Identifiers
Medical identifiers for Spronk Vander Griend & Radke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427029388 | NPI | - | NPPES |
| 33340 | Other | IA | WELLMARK GROUP ID |
| 0280578 | Medicaid | IA | |
| CE1831 | Other | IA | RR MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Spronk Vander Griend & Radke acts as a billing entity for following providers:
| Provider Name | Jonathan L Toso |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1154381770
PECOS PAC ID: 0648235952
Enrollment ID: I20050422000461 |
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| Provider Name | Harlan J Vander Griend |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1811964794
PECOS PAC ID: 6002800224
Enrollment ID: I20100825000566 |
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| Provider Name | Matthew L Radke |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1306819560
PECOS PAC ID: 0648264861
Enrollment ID: I20100825000631 |
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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. Spronk Vander Griend & Radke 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 |
|---|
Spronk Vander Griend & Radke
116 E Broadway, Po Box 450,
Paullina, IA 51046-0450
Ph: (712) 448-2195 | Spronk Vander Griend & Radke
116 E Broadway,
Paullina, IA 51046-0450
Ph: (712) 448-2195 |
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