Andrew J Baldus, OD | |
1700 W Paradise Dr, West Bend, WI 53095-9795 | |
(414) 454-7734 | |
Not Available |
Full Name | Andrew J Baldus |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 29 Years |
Location | 1700 W Paradise Dr, West Bend, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316924590 | NPI | - | NPPES |
10445 | Other | WI | NVA-MEDFORD |
39-1967186 | Other | WI | FEDERAL TAX ID-COLBY |
410046660 | Other | WI | RAILROAD MEDICARE-COLBY |
39-1229699 | Other | WI | FEDERAL TAX ID-MEDFORD |
391967186019 | Other | WI | BLUE CROSS BLUE SHIELD-CO |
410046659 | Other | WI | RAILROAD MEDICARE-MEDFORD |
1271670001 | Other | WI | DMERC-COLBY GROUP |
2616 | Other | WI | LICENSE |
38596900 | Medicaid | WI | |
391229699015 | Other | WI | BLUE CROSS BLUE SHIELD-ME |
0474980001 | Other | WI | DMERC-MEDFORD GROUP |
38715100 | Medicaid | WI | |
38715300 | Medicaid | WI | |
74812 | Other | WI | SECURITY HEALTH PLAN-COLB |
74813 | Other | WI | SECURITY HEALTH PLAN-MEDF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2616 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Country Eye Care Llc | 1254654742 | 3 |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Provider Name | Lake Country Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457757288 PECOS PAC ID: 1254654742 Enrollment ID: O20150109000024 |
Mailing Address | Practice Location Address |
---|---|
Andrew J Baldus, OD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (414) 454-7734 | Andrew J Baldus, OD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (414) 454-7734 |
West Bend Optical, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3720 W. Washington St., West Bend, WI 53095 Phone: 262-338-1800 Fax: 262-338-1947 | |
Visionworks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Main St., West Bend, WI 53095 Phone: 262-334-1925 | |
Dr. Jerry Alan Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3720 W. Washington Street, West Bend, WI 53095 Phone: 262-338-1800 Fax: 262-338-1947 | |
John F. Weaver, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 | |
Dr. John O Schroder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 | |
West Bend Clinic, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |