David W Kisiolek, OD is a medicare enrolled "Optometrist" provider in Howards Grove, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1980 and has 44 years of diverse experience with area of expertise as Optometry. He is a member of the group practice David W Kisiolek Od Sc and his current practice location is
300 Audubon Rd, Howards Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 565-3991.
David W Kisiolek is licensed to practice in Wisconsin (license number 1742) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285748459.
Healthcare Provider's Profile
| Full Name | David W Kisiolek |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 44 Years |
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| Location | 300 Audubon Rd, Howards Grove, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David W Kisiolek attended and graduated from Illinois College Of Optometry At Chicago in 1980
NPI Data:
- NPI Number: 1285748459
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759388028
- Enrollment ID: I20070418000130
Medical Identifiers
Medical identifiers for David W Kisiolek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285748459 | NPI | - | NPPES |
| 38514400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1742 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| David W Kisiolek Od Sc | 7214934587 | 2 |
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. David W Kisiolek allows following entities to bill medicare on his behalf.
| Provider Name | David W Kisiolek Od Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1619065224
PECOS PAC ID: 7214934587
Enrollment ID: O20061030000199 |
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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. David W Kisiolek 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 |
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David W Kisiolek, OD
300 Audubon Rd,
Howards Grove, WI 53083-1280
Ph: (920) 565-3991 | David W Kisiolek, OD
300 Audubon Rd,
Howards Grove, WI 53083-1280
Ph: (920) 565-3991 |
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