Andrew S Palm, OD in Onalaska, WI - Medicare Optometrist Provider

Andrew S Palm, OD is a medicare enrolled "Optometrist" provider in Onalaska, Wisconsin. His current practice location is 9348 State Road 16 Ste 228, Onalaska, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 781-2020.

Andrew S Palm is licensed to practice in Wisconsin (license number 2939 - 035) 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 1477616431.

Contact Information

	Andrew S Palm, OD
	9348 State Road 16 Ste 228, Onalaska, WI 54650-8567
	(608) 781-2020
	(608) 781-2445

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew S Palm
Gender	Male
Speciality	Optometrist
Location	9348 State Road 16 Ste 228, Onalaska, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477616431
Provider Enumeration Date: 12/19/2006
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3678655370
Enrollment ID: I20080204000406

Medical Identifiers

Medical identifiers for Andrew S Palm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477616431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2939-035 (Wisconsin)	Secondary
152W00000X	Optometrist	2939 - 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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew S Palm allows following entities to bill medicare on his behalf.

Provider Name	Palm Vision, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801122148 PECOS PAC ID: 5991960080 Enrollment ID: O20120621000650

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. Andrew S Palm 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
Andrew S Palm, OD 804 Amy Dr, Holmen, WI 54636-9347 Ph: (608) 317-3092	Andrew S Palm, OD 9348 State Road 16 Ste 228, Onalaska, WI 54650-8567 Ph: (608) 781-2020

Reviews and Comments

Optometrist in Onalaska, WI

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Onalaska Vision Associates, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 3107 Market Pl, Onalaska, WI 54650 Phone: 608-781-7150 Fax: 608-781-7152
Dr. Sarah A Clements, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8630
John S Purdue, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Drive, Onalaska, WI 54650 Phone: 608-796-8630

Andrew S Palm, OD - Medicare Optometrist in Onalaska, WI