Dr Michael Wade Jorgensen, OD is a
Optometrist based in Benton, Louisiana. Dr Michael Wade Jorgensen is licensed to practice in Louisiana (license number 1590-623T) and his current practice location is
187 Burt Blvd, Ste A, Benton, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 935-5080.
NPI number for Dr Michael Wade Jorgensen is 1558675157 and his current mailing address is 187 Burt Blvd, Ste A, Benton, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558675157.
Healthcare Provider's Profile
Full Name | Dr Michael Wade Jorgensen |
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Gender | Male |
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Speciality | Optometrist |
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Location | 187 Burt Blvd, Benton, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558675157
- Provider Enumeration Date: 08/06/2010
- Last Update Date: 11/16/2016
Medical Identifiers
Medical identifiers for Dr Michael Wade Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558675157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1590-623T (Louisiana) | Primary |
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 Michael Wade Jorgensen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael Wade Jorgensen, OD 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 | Dr Michael Wade Jorgensen, OD 187 Burt Blvd, Ste A, Benton, LA 71006-4905 Ph: (318) 935-5080 |
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