Cody W Dagnall, OD in Waupaca, WI - Medicare Optometrist Provider

Cody W Dagnall, OD is a medicare enrolled "Optometrist" provider in Waupaca, Wisconsin. His current practice location is 308 W Fulton St # 1422, Waupaca, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 258-8168.

Cody W Dagnall is licensed to practice in Wisconsin (license number 3809) 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 1851036867.

Contact Information

	Cody W Dagnall, OD
	308 W Fulton St # 1422, Waupaca, WI 54981-1422
	(715) 258-8168
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cody W Dagnall
Gender	Male
Speciality	Optometrist
Location	308 W Fulton St # 1422, Waupaca, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851036867
Provider Enumeration Date: 05/03/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9234512336
Enrollment ID: I20220823002422

Medical Identifiers

Medical identifiers for Cody W Dagnall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851036867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3809 (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. Cody W Dagnall allows following entities to bill medicare on his behalf.

Provider Name	Advanced Family Eyecare
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578640223 PECOS PAC ID: 5890718142 Enrollment ID: O20060112000478

Provider Name	Myeyedr Optometry Of Wisconsin Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001

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. Cody W Dagnall 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
Cody W Dagnall, OD 424 S Main St, Fall River, WI 53932-9594 Ph: (920) 296-2031	Cody W Dagnall, OD 308 W Fulton St # 1422, Waupaca, WI 54981-1422 Ph: (715) 258-8168

Reviews and Comments

Optometrist in Waupaca, WI

Daniel L. Gauerke, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 815 W Fulton St Ste 3, Waupaca, WI 54981 Phone: 715-258-9122 Fax: 715-258-3090
Dr. Jeffrey L. Byers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 S Washington St, Waupaca, WI 54981 Phone: 715-258-2020 Fax: 715-258-9301
Advanced Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 308 W Fulton St, Waupaca, WI 54981 Phone: 715-258-8168 Fax: 715-258-8436
Mr. Daniel R Everts, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 308 W Fulton St, Waupaca, WI 54981 Phone: 715-258-8168 Fax: 715-258-8436
Community Eyecare Center Sc Optometrist Medicare: Medicare Enrolled Practice Location: 222 S Washington St, Waupaca, WI 54981 Phone: 715-258-2020 Fax: 715-258-9301

Cody W Dagnall, OD - Medicare Optometrist in Waupaca, WI