Dr Alicia Marie Chacon, OD | |
925 N 87th St, Milwaukee, WI 53226-4812 | |
() - | |
Not Available |
Full Name | Dr Alicia Marie Chacon |
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Gender | Female |
Speciality | Optometrist - Pediatrics |
Location | 925 N 87th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831541887 | NPI | - | NPPES |
1831541887 | Medicaid | WI | |
1831541887 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WP0200X | Optometrist - Pediatrics | 3483-35 (Wisconsin) | Primary |
Provider Name | The Medical College Of Wisconsin Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Alicia Marie Chacon, OD 925 N 87th St, Milwaukee, WI 53226-4812 Ph: (414) 266-2020 | Dr Alicia Marie Chacon, OD 925 N 87th St, Milwaukee, WI 53226-4812 Ph: () - |
Mark Martin Konyn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 815 N Cass St, Milwaukee, WI 53202 Phone: 414-331-3308 | |
Milwaukee Family Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8532 W Lisbon Ave, Milwaukee, WI 53222 Phone: 414-527-1697 Fax: 414-527-0681 | |
Dr. Brian B Mcginley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2634 N. Downer Avenue, Milwaukee, WI 53211 Phone: 414-964-3125 | |
Dr. Heather Marie Hinson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 912 N Hawley Rd, Milwaukee, WI 53213 Phone: 414-615-0196 Fax: 414-615-0167 | |
Vision Forward Association, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 912 N Hawley Rd, Milwaukee, WI 53213 Phone: 414-615-0112 Fax: 414-615-0167 | |
Jessica M Bisgrove, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3500 S 27th St, Milwaukee, WI 53221 Phone: 414-817-9100 | |
Dr. Alexandra Jane Beachnau, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-607-5280 Fax: 414-955-6300 |