| Dr Lisa Marie Peterson, OD | |
|
1626 Tuttle St Ste 1, Baraboo, WI 53913-1501 | |
| (608) 356-2020 | |
| (608) 355-7055 |
| Full Name | Dr Lisa Marie Peterson |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 14 Years |
| Location | 1626 Tuttle St Ste 1, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881988244 | NPI | - | NPPES |
| 1881988244 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3215-035 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ho Chunk Nation | 5496709867 | 24 |
| Provider Name | Vision Mart Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366491227 PECOS PAC ID: 2163481516 Enrollment ID: O20041011000151 |
| Provider Name | Ho Chunk Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Marie Peterson, OD 1626 Tuttle St Ste 1, Baraboo, WI 53913-1501 Ph: (608) 356-2020 | Dr Lisa Marie Peterson, OD 1626 Tuttle St Ste 1, Baraboo, WI 53913-1501 Ph: (608) 356-2020 |
Dr. Blade Aron Grupe, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1626 Tuttle St Ste 1, Baraboo, WI 53913 Phone: 608-356-2020 Fax: 608-355-7055 | |
Dr. Emily J Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1626 Tuttle St, Suite 1, Baraboo, WI 53913 Phone: 608-356-2020 Fax: 608-356-6787 | |
Dr. Lori M Haun, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-355-5166 | |
Dr. Theresa L. Frith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1626 Tuttle St, Baraboo, WI 53913 Phone: 608-356-2020 Fax: 608-355-7055 | |
Paul B Webb Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 920 State Road 136, Baraboo, WI 53913 Phone: 608-356-6276 Fax: 866-318-0547 | |
Dr. James Kent Degener, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 920 Highway 12, Baraboo, WI 53913 Phone: 608-356-6276 | |
Dr. Rachel Bushey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1626 Tuttle St Ste 1, Baraboo, WI 53913 Phone: 608-356-2020 Fax: 608-355-7055 |