Gundersen Clinic, Ltd. is a medicare enrolled "Optometrist" provider in Sparta, Wisconsin. Their current practice location is
1111 W Wisconsin St, Sparta, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 782-7300.
Gundersen Clinic, Ltd. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Gundersen Clinic, Ltd.
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 1578518346.
Healthcare Provider's Profile
| Full Name | Gundersen Clinic, Ltd. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1111 W Wisconsin St, Sparta, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578518346
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638082779
- Enrollment ID: O20100930025508
Medical Identifiers
Medical identifiers for Gundersen Clinic, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578518346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Gundersen Clinic, Ltd. 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 |
Gundersen Clinic, Ltd. 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Gundersen Clinic, Ltd. 1111 W Wisconsin St, Sparta, WI 54656 Ph: (608) 782-7300 |
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