Mayville Vision Center, Inc. is a medicare enrolled "Optometrist" provider in Mayville, Wisconsin. Their current practice location is
935 Horicon St, Mayville, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(920) 387-3180.
Mayville Vision Center, Inc. is licensed to practice in Wisconsin (license number WI 2915-035) and it also participates in the medicare program. Mayville Vision Center, Inc.
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 1275799629.
Healthcare Provider's Profile
| Full Name | Mayville Vision Center, Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 935 Horicon St, Mayville, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275799629
- Provider Enumeration Date: 08/05/2008
- Last Update Date: 06/17/2009
Medicare PECOS Information:
- PECOS PAC ID: 0042241994
- Enrollment ID: O20050830000850
Medical Identifiers
Medical identifiers for Mayville Vision Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275799629 | NPI | - | NPPES |
| 38617900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | WI 2915-035 (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.
Mayville Vision Center, Inc. acts as a billing entity for following providers:
| Provider Name | Cassandre Bezold Hetzer |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1184626228
PECOS PAC ID: 7214968171
Enrollment ID: I20050831000051 |
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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. Mayville Vision Center, Inc. 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 |
|---|
Mayville Vision Center, Inc.
935 Horicon St,
Mayville, WI 53050-1428
Ph: (920) 387-3180 | Mayville Vision Center, Inc.
935 Horicon St,
Mayville, WI 53050-1428
Ph: (920) 387-3180 |
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