Jonathan Paul Judisch, OD is a medicare enrolled "Optometrist" provider in Lake City, Iowa. His current practice location is
1341 W Main St, Lake City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 464-3136.
Jonathan Paul Judisch is licensed to practice in Iowa (license number 02262) 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 1285784280.
Healthcare Provider's Profile
| Full Name | Jonathan Paul Judisch |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1341 W Main St, Lake City, Iowa |
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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:
- Jonathan Paul Judisch attended and graduated from in
NPI Data:
- NPI Number: 1285784280
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 01/08/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jonathan Paul Judisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285784280 | NPI | - | NPPES |
| 10025030700 | Medicaid | NE | |
| 35539 | Other | IA | BCBS |
| 0418657 | Medicaid | IA | |
| P00052944 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 02262 (Iowa) | Primary |
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. Jonathan Paul Judisch 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 |
|---|
Jonathan Paul Judisch, OD
1341 W Main St, Po Box 124,
Lake City, IA 51449-0124
Ph: (712) 464-3136 | Jonathan Paul Judisch, OD
1341 W Main St,
Lake City, IA 51449-0124
Ph: (712) 464-3136 |
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