Dr Cassandre Bezold Hetzer, OD is a medicare enrolled "Optometrist" provider in Mayville, Wisconsin. Her current practice location is
935 Horicon St, Mayville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 387-3180.
Dr Cassandre Bezold Hetzer is licensed to practice in Wisconsin (license number 2915-035) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184626228.
Healthcare Provider's Profile
| Full Name | Dr Cassandre Bezold Hetzer |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 935 Horicon St, Mayville, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Cassandre Bezold Hetzer attended and graduated from in
NPI Data:
- NPI Number: 1184626228
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Cassandre Bezold Hetzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184626228 | NPI | - | NPPES |
| 386-17900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2915-035 (Wisconsin) | Primary |
| 152W00000X | Optometrist | OPT002017 (Georgia) | Secondary |
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. Dr Cassandre Bezold Hetzer 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 |
|---|
Dr Cassandre Bezold Hetzer, OD
614 Colgate Rd,
Colgate, WI 53017-9323
Ph: (262) 628-2123 | Dr Cassandre Bezold Hetzer, OD
935 Horicon St,
Mayville, WI 53050-1428
Ph: (920) 387-3180 |
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