Donald E. Dlouhy Llc is a medicare enrolled primary clinic (Clinic/center) in Butler, Wisconsin. The current practice location for Donald E. Dlouhy Llc is 12728 W Hampton Ave, Butler, Wisconsin. For appointments, you can reach them via phone at
(262) 781-8693. The mailing address for Donald E. Dlouhy Llc is 12728 W Hampton Ave, Butler, Wisconsin and phone number is (262) 781-8693.
Donald E. Dlouhy Llc is licensed to practice in Wisconsin (license number 1863-035). The clinic also participates in the medicare program and its
NPI number is 1215177167. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(262) 781-8693.
Primary Care Clinic Profile
| Full Name | Donald E. Dlouhy Llc |
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| Speciality | Clinic/Center |
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| Location | 12728 W Hampton Ave, Butler, Wisconsin |
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| Authorized Official Name and Position | Donald Edward Dlouhy (OWNER) |
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| Authorized Official Contact | 2627818693 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Donald E. Dlouhy Llc
12728 W Hampton Ave
Butler
WI 53007-1602
Ph: (262) 781-8693 | Donald E. Dlouhy Llc
12728 W Hampton Ave
Butler
WI 53007-1602
Ph: (262) 781-8693 |
NPI Details:
| NPI Number | 1215177167 |
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| Provider Enumeration Date | 03/04/2009 |
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| Last Update Date | 01/06/2014 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5890842686 |
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| Medicare Enrollment ID | O20090414000340 |
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Medical Identifiers
Medical identifiers for Donald E. Dlouhy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215177167 | NPI | - | NPPES |
| 38519900 | Medicaid | WI | |
| DE41133 | Other | WI | SPECTERA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | 1863-035 (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.
Donald E. Dlouhy Llc acts as a billing entity for following providers:
| Provider Name | Donald E Dlouhy |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1013060136
PECOS PAC ID: 8729135512
Enrollment ID: I20090414000321 |
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