Dr Gary John Burkhardt, OD is a medicare enrolled "Optometrist" provider in Chilton, Wisconsin. His current practice location is
19 W Main St, Chilton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 849-4291.
Dr Gary John Burkhardt is licensed to practice in Wisconsin (license number 1989035) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861479412.
Healthcare Provider's Profile
Full Name | Dr Gary John Burkhardt |
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Gender | Male |
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Speciality | Optometrist |
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Location | 19 W Main St, Chilton, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861479412
- Provider Enumeration Date: 12/26/2005
- Last Update Date: 01/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123065760
- Enrollment ID: I20050414000626
Medical Identifiers
Medical identifiers for Dr Gary John Burkhardt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861479412 | NPI | - | NPPES |
38588600 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1989035 (Wisconsin) | Primary |
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 Gary John Burkhardt 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 Gary John Burkhardt, OD 19 W Main St, Chilton, WI 53014-1323 Ph: (920) 849-4291 | Dr Gary John Burkhardt, OD 19 W Main St, Chilton, WI 53014-1323 Ph: (920) 849-4291 |
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