Amanda C Lallensack, OD | |
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
(715) 478-4300 | |
Not Available |
Full Name | Amanda C Lallensack |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 4 Years |
Location | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477178259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3700 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forest County Potawatomi Community | 3375454689 | 15 |
Provider Name | Forest County Potawatomi Community |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
Mailing Address | Practice Location Address |
---|---|
Amanda C Lallensack, OD Po Box 396, Crandon, WI 54520-0396 Ph: (715) 478-4300 | Amanda C Lallensack, OD 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4300 |
William Dale Becker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 E Washington St, Crandon, WI 54520 Phone: 715-478-2401 Fax: 715-478-3663 | |
Dr. William R Pierre, OD TPA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mishkosen Dr, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 | |
Renee Lynn Walden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4300 | |
Crandon Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 E Washington St, Crandon, WI 54520 Phone: 715-478-2401 Fax: 715-478-3663 |