- Medicare Optometrist in Brodhead, WI

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is a medicare enrolled "Optometrist" provider in Brodhead, Wisconsin. Their current practice location is 1005 17th Street, Brodhead, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (608) 897-2128.

is licensed to practice in Wisconsin (license number 1483-035) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164416236.

Contact Information

1005 17th Street,
Brodhead, WI 53520
(608) 897-2128
(608) 897-3937

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location1005 17th Street, Brodhead, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164416236
  • Provider Enumeration Date: 09/06/2005
  • Last Update Date: 10/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8426021163
  • Enrollment ID: O20110113000189

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164416236NPI-NPPES
RAILROAD MEDICAREOtherWI410035917
38545800MedicaidWI
PHYSICIANS PLUSOtherWI1006622
MERCYCAREOtherWIPRUDHGEN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1483-035 (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. acts as a billing entity for following providers:
Provider NameDouglas E Kelley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033376090
PECOS PAC ID: 2769511385
Enrollment ID: I20100520000129

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. 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 AddressPractice Location Address

1005 17th Street, Po Box 0137,
Brodhead, WI 53520

Ph: (608) 897-2128
1005 17th Street,
Brodhead, WI 53520

Ph: (608) 897-2128

Reviews and Comments


Optometrist in Brodhead, WI

Gene D Prudhon, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1005 17th St, Brodhead, WI 53520
Phone: 608-897-2128    Fax: 608-897-3937

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.