Dr Kerry Lee Griebenow, OD in New London, WI - Medicare Optometrist Provider

Dr Kerry Lee Griebenow, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in New London, Wisconsin. His current practice location is 105 Northridge Dr, New London, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 982-3711.

Dr Kerry Lee Griebenow is licensed to practice in Wisconsin (license number 1666) 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 1063487072.

Contact Information

	Dr Kerry Lee Griebenow, OD
	105 Northridge Dr, New London, WI 54961-2703
	(920) 982-3711
	(920) 982-3009

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kerry Lee Griebenow
Gender	Male
Speciality	Optometrist - Corneal And Contact Management
Location	105 Northridge Dr, New London, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063487072
Provider Enumeration Date: 02/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7012966674
Enrollment ID: I20101108000641

Medical Identifiers

Medical identifiers for Dr Kerry Lee Griebenow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063487072	NPI	-	NPPES
38510500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	1666 (Wisconsin)	Primary

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 Kerry Lee Griebenow allows following entities to bill medicare on his behalf.

Provider Name	Forest County Potawatomi Community
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204

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 Kerry Lee Griebenow 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 Kerry Lee Griebenow, OD 105 Northridge Dr, P.o. Box 230, New London, WI 54961-2703 Ph: (920) 982-3711	Dr Kerry Lee Griebenow, OD 105 Northridge Dr, New London, WI 54961-2703 Ph: (920) 982-3711

Reviews and Comments

Optometrist in New London, WI

Rebecca D Amaral, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811
Griebenow Eyecare, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 105 Northridge Drive, New London, WI 54961 Phone: 920-982-3711 Fax: 920-982-3009
Wolf River Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1923 N Shawano St, Suite B, New London, WI 54961 Phone: 920-982-4561 Fax: 920-982-9811
Craig E Sylte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711
Molly Benck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Northridge Dr, New London, WI 54961 Phone: 920-982-3711

Dr Kerry Lee Griebenow, OD - Medicare Optometrist in New London, WI