Theodore M Wandzilak, MD in Louisville, KY

Theodore M Wandzilak, MD is a medicare enrolled "Ophthalmology" physician in Louisville, Kentucky. His current practice location is 1348 Poplar Level Rd, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 634-8100.

Theodore M Wandzilak is licensed to practice in Kentucky (license number 22152) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013909753.

Contact Information

	Theodore M Wandzilak, MD
	1348 Poplar Level Rd, Louisville, KY 40217-1307
	(502) 634-8100
	(502) 637-6396

Map and Direction

Physician's Profile

Full Name	Theodore M Wandzilak
Gender	Male
Speciality	Ophthalmology
Location	1348 Poplar Level Rd, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013909753
Provider Enumeration Date: 08/18/2005
Last Update Date: 01/09/2008

Medicare PECOS Information:

PECOS PAC ID: 4183768617
Enrollment ID: I20100222000137

Medical Identifiers

Medical identifiers for Theodore M Wandzilak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013909753	NPI	-	NPPES
64221526	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	22152 (Kentucky)	Primary

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. Theodore M Wandzilak allows following entities to bill medicare on his behalf.

Entity Name	Kentucky Eye Surgery Associates Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588862361 PECOS PAC ID: 4789651761 Enrollment ID: O20040910000814

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. Theodore M Wandzilak 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
Theodore M Wandzilak, MD 1348 Poplar Level Rd, Louisville, KY 40217-1307 Ph: (502) 634-8100	Theodore M Wandzilak, MD 1348 Poplar Level Rd, Louisville, KY 40217-1307 Ph: (502) 634-8100

Reviews and Comments

Ophthalmology Doctors in Louisville, KY

Dr. Brennan P Greene, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206 Phone: 502-589-1500 Fax: 502-589-1556
Donald Walter Bennett, OD MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215 Phone: 502-895-0040 Fax: 502-361-4488
Dr. Mark Cassol, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000
Lawrence Tenkman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215 Phone: 502-895-0040 Fax: 502-361-4488
Dr. Jacob Jones Yunker, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241 Phone: 502-897-9881 Fax: 502-897-9824
Christopher J Compton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 E Muhammad Ali Blvd, Louisville, KY 40202 Phone: 502-852-1665

Theodore M Wandzilak, MD - Medicare Ophthalmology in Louisville, KY