- Medicare Optometrist in Brillion, WI

  1. Home
  2. Optometrists
  3. WI
  4. Brillion
is a medicare enrolled "Optometrist" provider in Brillion, Wisconsin. Their current practice location is 950 W Ryan St, Suite A, Brillion, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (920) 756-2020.

is licensed to practice in Wisconsin (license number 2676) 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 1548457757.

Contact Information

950 W Ryan St, Suite A,
Brillion, WI 54110
(920) 756-2020
(920) 756-2000

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location950 W Ryan St, Brillion, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548457757
  • Provider Enumeration Date: 10/02/2007
  • Last Update Date: 05/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5092770743
  • Enrollment ID: O20041123000016

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548457757NPI-NPPES
38601700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2676 (Wisconsin)Primary
152W00000XOptometrist 2869 (Wisconsin)Secondary
152WC0802XOptometrist - Corneal And Contact Management 2676 (Wisconsin)Secondary
152WC0802XOptometrist - Corneal And Contact Management 2869 (Wisconsin)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation 2676 (Wisconsin)Secondary
152WP0200XOptometrist - Pediatrics 2676 (Wisconsin)Secondary
152WP0200XOptometrist - Pediatrics 2869 (Wisconsin)Secondary
152WS0006XOptometrist - Sports Vision 2676 (Wisconsin)Secondary
152WS0006XOptometrist - Sports Vision 2869 (Wisconsin)Secondary

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 NameCharles J Burgess
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699768333
PECOS PAC ID: 7810952561
Enrollment ID: I20041202000983
Provider NameMicah James Juedes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851708572
PECOS PAC ID: 5991921744
Enrollment ID: I20140731000211
Provider NameJonathan G Menos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932580537
PECOS PAC ID: 9931411931
Enrollment ID: I20150706000735
Provider NameNathan Michael Larson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073207445
PECOS PAC ID: 8022479815
Enrollment ID: I20230726001475

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

1255 Appleton Rd, Po Box 534,
Menasha, WI 54952-1501

Ph: (920) 722-6872
950 W Ryan St, Suite A,
Brillion, WI 54110

Ph: (920) 756-2020

Reviews and Comments


Optometrist in Brillion, WI

Dr. Micah Juedes, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 950 W Ryan St, Brillion, WI 54110
Phone: 920-756-2020    

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.