| John W Schaefer, OD | |
|
205 Division St, Mauston, WI 53948-2109 | |
| (608) 847-6264 | |
| (608) 847-7279 |
| Full Name | John W Schaefer |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 205 Division St, Mauston, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295816866 | NPI | - | NPPES |
| 38516200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1761 (Wisconsin) | Primary |
| Provider Name | Mauston Family Eyecare, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932745163 PECOS PAC ID: 0345676953 Enrollment ID: O20200130000322 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Schaefer, OD 205 Division St, Mauston, WI 53948-2109 Ph: (608) 847-6264 | John W Schaefer, OD 205 Division St, Mauston, WI 53948-2109 Ph: (608) 847-6264 |
Christine Ferchoff Renner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 E State St, Mauston, WI 53948 Phone: 608-847-6264 | |
John W. Schaefer, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 Division St., Mauston, WI 53948 Phone: 608-847-6264 Fax: 608-847-7279 | |
Mauston Family Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 201 E State St, Mauston, WI 53948 Phone: 608-847-6264 |