Milton & Edgerton Vision Centers, Llc is a medicare enrolled "Optometrist" provider in Edgerton, Wisconsin. Their current practice location is
1110 N Main St, Edgerton, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 884-3314.
Milton & Edgerton Vision Centers, Llc is licensed to practice in Wisconsin (license number 1749) and it also participates in the medicare program. Milton & Edgerton Vision Centers, Llc
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 1194932111.
Healthcare Provider's Profile
| Full Name | Milton & Edgerton Vision Centers, Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1110 N Main St, Edgerton, Wisconsin |
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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: 1194932111
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072903749
- Enrollment ID: O20211213000864
Medical Identifiers
Medical identifiers for Milton & Edgerton Vision Centers, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194932111 | NPI | - | NPPES |
| 38514300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1749 (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.
Milton & Edgerton Vision Centers, Llc acts as a billing entity for following providers:
| Provider Name | Tristan Michael Long |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1780021667
PECOS PAC ID: 7517108715
Enrollment ID: I20130731000392 |
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| Provider Name | Jayme Nicole Kasting Long |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1497169403
PECOS PAC ID: 5991923641
Enrollment ID: I20170124002122 |
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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. Milton & Edgerton Vision Centers, Llc 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 |
|---|
Milton & Edgerton Vision Centers, Llc
1110 N Main St,
Edgerton, WI 53534-1328
Ph: (608) 884-3314 | Milton & Edgerton Vision Centers, Llc
1110 N Main St,
Edgerton, WI 53534-1328
Ph: (608) 884-3314 |
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