Edward W Waldeck, MD is a
Ophthalmology physician based in Cudahy, Wisconsin. Edward W Waldeck is licensed to practice in Wisconsin (license number 16654-020) and his current practice location is 6020 S Packard Ave, Cudahy, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 294-4660.
NPI number for Edward W Waldeck is 1912994807 and his current mailing address is 6020 S Packard Ave, Cudahy, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912994807.
Physician's Profile
| Full Name | Edward W Waldeck |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 6020 S Packard Ave, Cudahy, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912994807
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 10/13/2024
Medical Identifiers
Medical identifiers for Edward W Waldeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912994807 | NPI | - | NPPES |
| 39-1484998E | Other | WI | HUMANA |
| 391484998011 | Other | WI | BC/CC |
| 391484998 | Other | WI | TAX ID |
| 180021822 | Other | WI | RR MEDICARE |
| 0800048 | Other | WI | PRIMECARE |
| 30936100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 16654-020 (Wisconsin) | Primary |
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. Edward W Waldeck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward W Waldeck, MD
6020 S Packard Ave,
Cudahy, WI 53110-3028
Ph: (414) 294-4660 | Edward W Waldeck, MD
6020 S Packard Ave,
Cudahy, WI 53110-3028
Ph: (414) 294-4660 |
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