Marissa Spatz, is a medicare enrolled "Optometrist" provider in Oconto, Wisconsin. It graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Optometry. It is a member of the group practice The Lakes Community Health Center Inc and their current practice location is
155 Memorial Dr, Oconto, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 516-7107.
Marissa Spatz is licensed to practice in Wisconsin (license number 4077-35) and it also participates in the medicare program. It
accepts medicare assignments (which means it accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1669360780.
Healthcare Provider's Profile
| Full Name | Marissa Spatz |
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| Gender | Facility |
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| Speciality | Optometry |
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| Experience | 1 Years |
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| Location | 155 Memorial Dr, Oconto, Wisconsin |
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| Accepts Medicare Assignments | Yes. It 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:
- Marissa Spatz graduated from medical school in 2025
NPI Data:
- NPI Number: 1669360780
- Provider Enumeration Date: 06/26/2025
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254831167
- Enrollment ID: I20250825003308
Medical Identifiers
Medical identifiers for Marissa Spatz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669360780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4077-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Lakes Community Health Center Inc | 0840366654 | 109 |
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. Marissa Spatz 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 |
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Marissa Spatz,
1730 Cinnabar Way,
Green Bay, WI 54311-4000
Ph: () - | Marissa Spatz,
155 Memorial Dr,
Oconto, WI 54153-2053
Ph: (920) 516-7107 |
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