Dr Emma Elizabeth Letlebo, OD is a medicare enrolled "Optometrist" provider in Verona, Wisconsin. She went to Southern College Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Verona Vision Care Llc and her current practice location is
320 S Main St, Verona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 848-5168.
Dr Emma Elizabeth Letlebo is licensed to practice in Wisconsin (license number 3577-035) 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 1609357359.
Healthcare Provider's Profile
| Full Name | Dr Emma Elizabeth Letlebo |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 320 S Main St, Verona, 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 Emma Elizabeth Letlebo attended and graduated from Southern College Of Optometry in 2018
NPI Data:
- NPI Number: 1609357359
- Provider Enumeration Date: 08/21/2018
- Last Update Date: 10/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 7719222934
- Enrollment ID: I20191016001234
Medical Identifiers
Medical identifiers for Dr Emma Elizabeth Letlebo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609357359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3485 (Tennessee) | Secondary |
| 152W00000X | Optometrist | 3577-035 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Verona Vision Care Llc | 2163423484 | 3 |
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. Dr Emma Elizabeth Letlebo allows following entities to bill medicare on her behalf.
| Provider Name | Verona Vision Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598825549
PECOS PAC ID: 2163423484
Enrollment ID: O20070129000449 |
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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. Dr Emma Elizabeth Letlebo 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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Dr Emma Elizabeth Letlebo, OD
1245 Madison Ave,
Memphis, TN 38104-2211
Ph: () - | Dr Emma Elizabeth Letlebo, OD
320 S Main St,
Verona, WI 53593-1424
Ph: (608) 848-5168 |
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