Jack Lund, in Fond Du Lac, WI - Medicare Optometrist Provider

Jack Lund, is a medicare enrolled "Optometrist" provider in Fond Du Lac, Wisconsin. His current practice location is 459 W Johnson St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 922-5990.

Jack Lund is licensed to practice in Wisconsin (license number 3912-35) 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 1750074290.

Contact Information

	Jack Lund,
	459 W Johnson St, Fond Du Lac, WI 54935-3161
	(920) 922-5990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Lund
Gender	Male
Speciality	Optometrist
Location	459 W Johnson St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750074290
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4789044421
Enrollment ID: I20230713001622

Medical Identifiers

Medical identifiers for Jack Lund such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750074290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3912-35 (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. Jack Lund allows following entities to bill medicare on his behalf.

Provider Name	Wisconsin Vision Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134179427 PECOS PAC ID: 5698676518 Enrollment ID: O20040220000706

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. Jack Lund 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
Jack Lund, 16800 W Cleveland Ave, New Berlin, WI 53151-3533 Ph: () -	Jack Lund, 459 W Johnson St, Fond Du Lac, WI 54935-3161 Ph: (920) 922-5990

Reviews and Comments

Optometrist in Fond Du Lac, WI

Laura J Rau, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 24 Deneveu Cir, Fond Du Lac, WI 54935 Phone: 920-924-9585
Wisconsin Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 459 W Johnson St, Fond Du Lac, WI 54935 Phone: 920-922-5990 Fax: 920-922-7482
Dr. Benjamin R Scoresby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8472 Fax: 920-926-8391
J. Brian Conran, O.d., S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 110 E Division St, Fond Du Lac, WI 54935 Phone: 920-922-5430 Fax: 920-922-5478
Family Focus Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 355 N Peters Ave Ste 1, Fond Du Lac, WI 54935 Phone: 920-922-7121 Fax: 920-922-5666
Jessica Kulick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-922-7121
Dr. Julie M Henry, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012

Jack Lund, - Medicare Optometrist in Fond Du Lac, WI