Roseau Warroad Eye Clinic Pa is a medicare enrolled "Optometrist" provider in Warroad, Minnesota. Their current practice location is
301 Lake Street, Warroad, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(218) 386-2081.
Roseau Warroad Eye Clinic Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Roseau Warroad Eye Clinic Pa
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 1669875514.
Healthcare Provider's Profile
Full Name | Roseau Warroad Eye Clinic Pa |
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Type | Facility |
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Speciality | Optometrist |
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Location | 301 Lake Street, Warroad, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669875514
- Provider Enumeration Date: 10/07/2014
- Last Update Date: 10/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 3577784404
- Enrollment ID: O20141017002135
Medical Identifiers
Medical identifiers for Roseau Warroad Eye Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669875514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Roseau Warroad Eye Clinic Pa acts as a billing entity for following providers:
Provider Name | Ross J Olson |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1790071132 PECOS PAC ID: 6709055049 Enrollment ID: I20110803000363 |
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Provider Name | Peter L Vatnsdal |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1639430689 PECOS PAC ID: 1355599986 Enrollment ID: I20120924000382 |
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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. Roseau Warroad Eye Clinic Pa 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 |
Roseau Warroad Eye Clinic Pa 306 Main Ave N, Roseau, MN 56751-1820 Ph: (218) 463-2020 | Roseau Warroad Eye Clinic Pa 301 Lake Street, Warroad, MN 56763 Ph: (218) 386-2081 |
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