Dustin Hetke, OD is a medicare enrolled "Optometrist" provider in Cumberland, Wisconsin. He went to University Of Missouri St Louis - School Of Optometry and graduated in 2015 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Aeg Wisconsin Professional Ltd and his current practice location is
1357 2nd Ave, Cumberland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 822-2091.
Dustin Hetke is licensed to practice in Wisconsin (license number 3386-35) 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 1578946265.
Healthcare Provider's Profile
| Full Name | Dustin Hetke |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 11 Years |
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| Location | 1357 2nd Ave, Cumberland, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- Dustin Hetke attended and graduated from University Of Missouri St Louis - School Of Optometry in 2015
NPI Data:
- NPI Number: 1578946265
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 11/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496060956
- Enrollment ID: I20150813010213
Medical Identifiers
Medical identifiers for Dustin Hetke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578946265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3386-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aeg Wisconsin Professional Ltd | 1557372968 | 13 |
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. Dustin Hetke allows following entities to bill medicare on his behalf.
| Provider Name | Aeg Wisconsin Professional Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407801087
PECOS PAC ID: 1557372968
Enrollment ID: O20060524000191 |
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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. Dustin Hetke 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 |
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Dustin Hetke, OD
1357 2nd Ave,
Cumberland, WI 54829-7211
Ph: (715) 822-2091 | Dustin Hetke, OD
1357 2nd Ave,
Cumberland, WI 54829-7211
Ph: (715) 822-2091 |
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