David R Dufeck, OD is a medicare enrolled "Optometrist" provider in Depere, Wisconsin. His current practice location is
301 N Broadway, Depere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 336-7700.
David R Dufeck is licensed to practice in Wisconsin (license number 1428) 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 1003927278.
Healthcare Provider's Profile
Full Name | David R Dufeck |
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Gender | Male |
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Speciality | Optometrist |
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Location | 301 N Broadway, Depere, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003927278
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 5092773242
- Enrollment ID: I20041221000088
Medical Identifiers
Medical identifiers for David R Dufeck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003927278 | NPI | - | NPPES |
38517800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1428 (Wisconsin) | Primary |
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. David R Dufeck 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 |
David R Dufeck, OD 301 N Broadway, Depere, WI 54115 Ph: (920) 336-7700 | David R Dufeck, OD 301 N Broadway, Depere, WI 54115 Ph: (920) 336-7700 |
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