Crosslake Eye Center - Medicare Optometrist in Pequot Lakes, MN

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Crosslake Eye Center is a medicare enrolled "Optometrist" provider in Pequot Lakes, Minnesota. Their current practice location is 30960 Government Dr, Pequot Lakes, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 568-5555.

Crosslake Eye Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Crosslake Eye Center 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 1831428903.

Contact Information

Crosslake Eye Center
30960 Government Dr,
Pequot Lakes, MN 56472-1003
(218) 568-5555
(218) 568-8904

Map and Direction




Healthcare Provider's Profile

Full NameCrosslake Eye Center
TypeFacility
SpecialityOptometrist
Location30960 Government Dr, Pequot Lakes, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831428903
  • Provider Enumeration Date: 12/18/2009
  • Last Update Date: 10/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941547764
  • Enrollment ID: O20190131001924

Medical Identifiers

Medical identifiers for Crosslake Eye Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831428903NPI-NPPES
176684800MedicaidMN
1BI74PEOtherMNBCBS
22-05547OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
332H00000XEyewear Supplier 2945 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crosslake Eye Center acts as a billing entity for following providers:
Provider NameTodd M Wiedell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295781425
PECOS PAC ID: 9931179157
Enrollment ID: I20040727000546

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. Crosslake Eye Center 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
Crosslake Eye Center
Po Box 176,
Pequot Lakes, MN 56472-0176

Ph: (218) 568-5555		Crosslake Eye Center
30960 Government Dr,
Pequot Lakes, MN 56472-1003

Ph: (218) 568-5555

Reviews and Comments


Optometrist in Pequot Lakes, MN

Dr. Todd M Wiedell, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 30960 Government Dr, Pequot Lakes, MN 56472
Phone: 218-568-5555    Fax: 218-568-8904
Pequot Eye Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4461 Main St,, Pequot Lakes, MN 56472
Phone: 218-568-5555    Fax: 218-568-8904

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.