Dr Jacob Andrew Woldt, OD in Green Bay, WI - Medicare Optometry Provider

Dr Jacob Andrew Woldt, OD is a medicare enrolled "Optometrist" provider in Green Bay, Wisconsin. He went to Indiana University - School Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Tower Clock Eye Center Sc and his current practice location is 1087 W Mason St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 499-3102.

Dr Jacob Andrew Woldt is licensed to practice in South Dakota (license number 692) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336496355.

Contact Information

	Dr Jacob Andrew Woldt, OD
	1087 W Mason St, Green Bay, WI 54303-1859
	(920) 499-3102
	(920) 499-9636

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Andrew Woldt
Gender	Male
Speciality	Optometry
Experience	12 Years
Location	1087 W Mason St, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Andrew Woldt attended and graduated from Indiana University - School Of Optometry in 2012

NPI Data:

NPI Number: 1336496355
Provider Enumeration Date: 08/09/2012
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5193969392
Enrollment ID: I20200616002184

Medical Identifiers

Medical identifiers for Dr Jacob Andrew Woldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336496355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3615 (Wisconsin)	Secondary
152W00000X	Optometrist	002598 (Iowa)	Secondary
152W00000X	Optometrist	692 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tower Clock Eye Center Sc	6305890781	8

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 Jacob Andrew Woldt allows following entities to bill medicare on his behalf.

Provider Name	Tower Clock Eye Center Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801998729 PECOS PAC ID: 6305890781 Enrollment ID: O20050309000149

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 Jacob Andrew Woldt 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 Jacob Andrew Woldt, OD 1087 W Mason St, Green Bay, WI 54303-1859 Ph: (920) 499-3102	Dr Jacob Andrew Woldt, OD 1087 W Mason St, Green Bay, WI 54303-1859 Ph: (920) 499-3102

Reviews and Comments

Optometrist in Green Bay, WI

Brad J Lavallie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005
Gregory N Hubertus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 N Military Ave, Ste 10, Green Bay, WI 54303 Phone: 920-498-2020 Fax: 920-498-2269
April Kathleen Swim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Michelle Marie Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Military Ave, Green Bay, WI 54303 Phone: 920-494-3384
Dr. James Leigh Elm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540
Paye Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Sixth St, Green Bay, WI 54304 Phone: 920-499-2147 Fax: 920-499-0574
Teresa Elm, Optometrist Medicare: Medicare Enrolled Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540

Dr Jacob Andrew Woldt, OD - Medicare Optometrist in Green Bay, WI