Dr Anthony Jacob Brechtelsbauer, OD | |
2825 Hunters Trl Lowr Level, Portage, WI 53901-3429 | |
(608) 742-5522 | |
(608) 745-3054 |
Full Name | Dr Anthony Jacob Brechtelsbauer |
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Gender | Male |
Speciality | Optometrist |
Location | 2825 Hunters Trl Lowr Level, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760112973 | NPI | - | NPPES |
1760112973 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3903 (Wisconsin) | Secondary |
152W00000X | Optometrist | 4901005627 (Michigan) | Primary |
Provider Name | Schaff Vision Care, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851486617 PECOS PAC ID: 3072581966 Enrollment ID: O20040920000023 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Jacob Brechtelsbauer, OD 919 Essex Park Dr, Jackson, MI 49203-3884 Ph: (517) 230-5547 | Dr Anthony Jacob Brechtelsbauer, OD 2825 Hunters Trl Lowr Level, Portage, WI 53901-3429 Ph: (608) 742-5522 |
Madeleine M Hacker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-5522 Fax: 608-745-3054 | |
Dennis E Harkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2851b New Pinery Rd, Portage, WI 53901 Phone: 608-742-5522 Fax: 608-745-5454 | |
Dr. James F Adams, Optometrist Medicare: Medicare Enrolled Practice Location: 2129 New Pinery Rd, Portage, WI 52901 Phone: 608-686-7019 | |
Dr. William Scott Goldthorpe, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Henry Dr, Portage, WI 53901 Phone: 608-742-7050 | |
Dr. Jeffry S Goldthorpe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Henry Drive, Portage, WI 53901 Phone: 608-742-7050 | |
Julie Lueck Goldthorpe, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Henry Dr, Portage, WI 53901 Phone: 608-742-7050 |