Dr Mary Ellen Teclaw, OD in Brookfield, WI - Medicare Optometry Provider

Dr Mary Ellen Teclaw, OD is a medicare enrolled "Optometrist" provider in Brookfield, Wisconsin. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Olson Eye Care Llc and her current practice location is 17495 W Capitol Dr, Suite D, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 797-9638.

Dr Mary Ellen Teclaw is licensed to practice in Wisconsin (license number 3440-35) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750824959.

Contact Information

	Dr Mary Ellen Teclaw, OD
	17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059
	(262) 797-9638
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Ellen Teclaw
Gender	Female
Speciality	Optometry
Experience	8 Years
Location	17495 W Capitol Dr, Brookfield, 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.

Medical Education and Training:

Dr Mary Ellen Teclaw graduated from medical school in 2016

NPI Data:

NPI Number: 1750824959
Provider Enumeration Date: 11/21/2016
Last Update Date: 08/06/2018

Medicare PECOS Information:

PECOS PAC ID: 7315204336
Enrollment ID: I20171129003320

Medical Identifiers

Medical identifiers for Dr Mary Ellen Teclaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750824959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3440-35 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olson Eye Care Llc	5294818589	5

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 Mary Ellen Teclaw allows following entities to bill medicare on her behalf.

Provider Name	Phillip E Roy
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1750406781 PECOS PAC ID: 1153488341 Enrollment ID: I20090313000414

Provider Name	Olson Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215119789 PECOS PAC ID: 5294818589 Enrollment ID: O20080208000591

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 Mary Ellen Teclaw 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 Mary Ellen Teclaw, OD 503 Commerce Dr, Madison, WI 53719-4941 Ph: (608) 833-0062	Dr Mary Ellen Teclaw, OD 17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 Ph: (262) 797-9638

Reviews and Comments

Optometrist in Brookfield, WI

Brookfield Vision Center, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814
Reverie Optique Optometrist Medicare: Medicare Enrolled Practice Location: 2205 N Calhoun Rd Ste 16, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-786-4729
Dr. Kamaldeep S Toor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr, Brookfield, WI 53045 Phone: 262-797-9638
Dr. Saly Thi Tran, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814
Alexandra Brandt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr Ste D, Brookfield, WI 53045 Phone: 262-797-9638 Fax: 262-797-9648
Dr. Rachel Paul, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16970a W Bluemound Rd, Brookfield, WI 53005 Phone: 262-784-8120
Charles G Niebler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2205 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-796-4729

Dr Mary Ellen Teclaw, OD - Medicare Optometrist in Brookfield, WI