Cottage Grove Eye Care is a medicare enrolled "Optometrist" provider in Cottage Grove, Wisconsin. Their current practice location is
427 W Cottage Grove Rd, Cottage Grove, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 839-0980.
Cottage Grove Eye Care is licensed to practice in Wisconsin (license number 2723) and it also participates in the medicare program. Cottage Grove Eye Care
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 1225441926.
Healthcare Provider's Profile
Full Name | Cottage Grove Eye Care |
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Type | Facility |
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Speciality | Optometrist |
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Location | 427 W Cottage Grove Rd, Cottage Grove, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225441926
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 06/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 8426272568
- Enrollment ID: O20140612000010
Medical Identifiers
Medical identifiers for Cottage Grove Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225441926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2723 (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.
Cottage Grove Eye Care acts as a billing entity for following providers:
Provider Name | David P Nelson |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1992878409 PECOS PAC ID: 3870775372 Enrollment ID: I20110304000148 |
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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. Cottage Grove Eye Care 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 |
Cottage Grove Eye Care 427 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 Ph: (608) 839-0980 | Cottage Grove Eye Care 427 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 Ph: (608) 839-0980 |
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