Mrs Payton Marie Holden Bista, OD is a medicare enrolled "Optometrist" provider in Waowatosa, Wisconsin. She went to Illinois College Of Optometry At Chicago and graduated in 2022 and has 3 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Markerry Enterprises Llc and her current practice location is
7511 Harwood Ave, Waowatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 453-1300.
Mrs Payton Marie Holden Bista is licensed to practice in Wisconsin (license number 3869-35) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1710621842.
Healthcare Provider's Profile
| Full Name | Mrs Payton Marie Holden Bista |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 3 Years |
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| Location | 7511 Harwood Ave, Waowatosa, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Payton Marie Holden Bista attended and graduated from Illinois College Of Optometry At Chicago in 2022
NPI Data:
- NPI Number: 1710621842
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 10/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739561010
- Enrollment ID: I20230509002741
Medical Identifiers
Medical identifiers for Mrs Payton Marie Holden Bista such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710621842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046011619 (Illinois) | Secondary |
| 152W00000X | Optometrist | 3869-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Markerry Enterprises Llc | 5698195717 | 3 |
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. Mrs Payton Marie Holden Bista allows following entities to bill medicare on her behalf.
| Provider Name | Markerry Enterprises Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992012488
PECOS PAC ID: 5698195717
Enrollment ID: O20201012001298 |
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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. Mrs Payton Marie Holden Bista 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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Mrs Payton Marie Holden Bista, OD
3325 Anders Lane,
Brookfield, WI 53005-2804
Ph: (810) 969-2280 | Mrs Payton Marie Holden Bista, OD
7511 Harwood Ave,
Waowatosa, WI 53213-2606
Ph: (414) 453-1300 |
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