Busisiwe Rose Vandriel, OD | |
200 S 18th Ave, Wausau, WI 54401-4252 | |
(715) 842-8040 | |
(715) 848-8773 |
Full Name | Busisiwe Rose Vandriel |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 18 Years |
Location | 200 S 18th Ave, Wausau, 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 |
---|---|---|---|
1043403967 | NPI | - | NPPES |
38632500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3085-035 (Wisconsin) | Primary |
152W00000X | Optometrist | 3081 (Minnesota) | Secondary |
152W00000X | Optometrist | 00004168 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shoptikal Llc | 1456684471 | 169 |
Provider Name | Shoptikal Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553 |
Mailing Address | Practice Location Address |
---|---|
Busisiwe Rose Vandriel, OD 200 S 18th Ave, Wausau, WI 54401-4252 Ph: (715) 842-8040 | Busisiwe Rose Vandriel, OD 200 S 18th Ave, Wausau, WI 54401-4252 Ph: (715) 842-8040 |
Wayne R Busick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: D400 Wausau Ctr, Wausau, WI 54403 Phone: 715-842-5224 | |
Dr. Robert Kessen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Stewart Ave, Suite 120, Wausau, WI 54401 Phone: 715-845-1988 | |
Dr. Katie J Michalski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st Street, Wausau, WI 54403 Phone: 715-261-8500 Fax: 715-261-8556 | |
Dr. Daniel T. Stoehr, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 N 1st St, Wausau, WI 54403 Phone: 715-261-8500 Fax: 715-261-8667 | |
Nancy Shebuski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Dr. Erin Renee Daggett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 S 18th Ave, Wausau, WI 54401 Phone: 715-842-8040 |