Dr Mark Arthur Ebben, OD OPTOMETRIST in Kaukauna, WI

Dr Mark Arthur Ebben, OD OPTOMETRIST is a medicare enrolled "Optometrist" provider in Kaukauna, Wisconsin. His current practice location is 1 Bank Ave, Kaukauna, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 766-2481.

Dr Mark Arthur Ebben is licensed to practice in Wisconsin (license number 1618035) 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 1255389201.

Contact Information

	Dr Mark Arthur Ebben, OD OPTOMETRIST
	1 Bank Ave, Kaukauna, WI 54130-2581
	(920) 766-2481
	(920) 766-3769

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Arthur Ebben
Gender	Male
Speciality	Optometrist
Location	1 Bank Ave, Kaukauna, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255389201
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7113021304
Enrollment ID: I20100204000603

Medical Identifiers

Medical identifiers for Dr Mark Arthur Ebben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255389201	NPI	-	NPPES
38700400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1618035 (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 Mark Arthur Ebben allows following entities to bill medicare on his behalf.

Provider Name	Magiera Eyecare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831636828 PECOS PAC ID: 6406950690 Enrollment ID: O20070329000532

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 Mark Arthur Ebben 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 Mark Arthur Ebben, OD OPTOMETRIST 1 Bank Ave, Kaukauna, WI 54130 Ph: (920) 766-2481	Dr Mark Arthur Ebben, OD OPTOMETRIST 1 Bank Ave, Kaukauna, WI 54130-2581 Ph: (920) 766-2481

Reviews and Comments

Optometrist in Kaukauna, WI

Kaukauna Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481 Fax: 920-766-3769
Dr. Jenna Lelsey Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481
Dr. Mary Kathryn Schroeder, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481
Magiera Eyecare Llc. Optometrist Medicare: Medicare Enrolled Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-766-2481
David G Vanderloop Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025
Clear Approach Optometry Sc Optometrist Medicare: Medicare Enrolled Practice Location: 1901 Crooks Ave Ste C, Kaukauna, WI 54130 Phone: 920-372-2555 Fax: 920-949-4025

Dr Mark Arthur Ebben, OD OPTOMETRIST - Medicare Optometrist in Kaukauna, WI